| NPI | 1356749642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOUIS GUTIERREZ Physician 512-482-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX H8097) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2023-06-06 |