| NPI | 1134305626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL G VIGO Md 512-454-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: TX K4600) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-09-07 |