| NPI | 1215076633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GALLIMORE Credentialing Coordinator 512-244-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX No License) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-08-28 |