| NPI | 1134242811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B VLIET CEO 512-972-5205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-02-08 |