| NPI | 1275978306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE KENNON Practice Mgr 512-732-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2024-03-21 |