| NPI | 1326377730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISWAJYOTHI MAMBAPOOR Owner 512-251-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L1124) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |