| NPI | 1073612594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE R RODRIGUEZ-AGUIRRE Billing Manager 512-323-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K6822) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: TX DC6847) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-11-05 |