| NPI | 1134499890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY NATALIE DURAN Administrator 512-435-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 014434) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |