| NPI | 1306314539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LOYD Associate Executive Director 512-600-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |