NPI | 1295395499 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GONZALES CEO 512-730-3056 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-12-19 |