| NPI | 1295765469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SUZANNE KELLY-KING Billing Branch Manager 512-458-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |