| NPI | 1134208952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SCHALCHLIN Associate Com MIS Sioner 512-438-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-02-05 |