| NPI | 1144408550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN LAROE Medical Director 512-282-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX PA02586) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2010-03-29 |