| NPI | 1073353496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUCCI Owner 512-792-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |