| NPI | 1346643459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LYNNE GRAY Physician 512-219-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX G8145) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |