NPI | 1134344625 |
---|---|
Entity Type | Organization |
Authorized Contact | DIETER ROBERT MARTIN President 512-308-6349 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2007-04-17 |
Last Update Date | 2010-10-23 |