| NPI | 1356656086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK EDWIN CLEMONS Owner/President 512-732-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX J1933) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |