| NPI | 1134382807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SHAWN BOBB President 512-858-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX M7864) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2009-07-29 |