| NPI | 1235282112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CAROLE CAMPBELL Credentialing Specialist 512-454-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX E0921) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-06-30 |