| NPI | 1225908718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMERLYN HELLER Manager 512-693-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-12-10 |