| NPI | 1366224065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENDOL L DAVIS Director 512-443-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-11-03 |