NPI | 1144034521 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK SHEN Owner 512-779-7276 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2025-02-05 |
Last Update Date | 2025-08-14 |