| NPI | 1104542448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GE'O-VANNA SMITH Clinic Director 512-998-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TH0004X Psychologist, Health | |
| 208D00000X General Practice | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-11-18 |