| NPI | 1174155527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY SHANE STEVENS CEO 512-270-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-17 |