| NPI | 1174053755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNI ESPINOZA Credentialing Clerk 512-358-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G1140) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |