| NPI | 1265741813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA RICHMOND Insurance Coordinator 512-244-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1991) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |