| NPI | 1144255704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MOORE Director Of Operations 512-342-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K2041) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-13 |