| NPI | 1194915876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BIRKET BENZEL Manager 512-540-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX PA02422) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2014-06-20 |