NPI | 1104973171 |
---|---|
Doing Business As | THE WHOLE CHILD CLINIC |
Entity Type | Organization |
Authorized Contact | MARY JANE WRAY President 512-467-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX G4757) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2020-08-22 |