| NPI | 1265288567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SMITH Psychiatric Nurse Practitioner 512-431-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |