| NPI | 1366968588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIENKE SPLINT GUL Manager 512-454-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128543) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2022-07-21 |