| NPI | 1144628686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD HARVEY KATZ Owner 512-266-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME56258) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |