| NPI | 1366638298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TANKSLEY BUTLER President/Owner 512-258-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K-4866) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2012-03-23 |