| NPI | 1245005362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN RAY Nurse Practitioner 512-906-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-02-01 |