| NPI | 1235130592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P SPENCER President 512-892-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-04-04 |