| NPI | 1245890441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO BLAKE CEO 512-730-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-12-19 |