NPI | 1063979482 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER A EVANS President 512-804-8890 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
207N00000X Dermatology | |
207R00000X Internal Medicine | |
207RP1001X Internal Medicine, Pulmonary Disease | |
208200000X Plastic Surgery | |
2086S0122X Surgery, Plastic and Reconstructive Surgery | |
208D00000X General Practice | |
213E00000X Podiatrist | |
225100000X Physical Therapist | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2019-02-21 |
Last Update Date | 2023-02-15 |