| NPI | 1275328056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN ATKINS Owner/Practitioner 979-299-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-09-18 |