| NPI | 1184178899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED LEGER Manager 512-220-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |