| NPI | 1073644423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT CARDWELL Office Manager 512-336-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-04-22 |