| NPI | 1366258519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESHKUMAR PATEL CEO 512-400-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-08-18 |