NPI | 1154787042 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY DAWN ENGELMAN Nurse Practitioner 512-799-1912 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124292) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2016-01-07 |