| NPI | 1366056020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WAYNE SHEN President 512-779-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |