| NPI | 1356858377 |
|---|---|
| Former Legal Business Name | MS |
| Entity Type | Organization |
| Authorized Contact | LOANN TRINH Medical Director 512-944-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |