NPI | 1376515254 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE LAWRENCE ROGERS Owner/Presidetn 512-833-7334 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M2056) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2020-08-22 |