NPI | 1235311168 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA TAYLOR CARTER Geriatric Nurse Practitioner 512-992-7622 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 613819) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2008-05-02 |