| NPI | 1386496636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO REYES Owner 512-884-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |