| NPI | 1245758507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KAY TALLBEAR Director, Administrator 512-468-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: TX 150057) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |