| NPI | 1356871347 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MIND CORBETT Billing And Support Ops Manager 512-861-0322  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care | 
| Enumeration Date | 2017-06-13 | 
| Last Update Date | 2018-03-17 |