| NPI | 1154624260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KIM Managing Member 512-630-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N5158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5158) |
| 207R00000X Internal Medicine (Licence: LA MD.024557) | |
| 207R00000X Internal Medicine (Licence: MD D0063651) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.024557) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0063651) | |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |