| NPI | 1124050836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M BLUDWORTH Office Manager 512-392-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-12-10 |