| NPI | 1396018180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE GONZALEZ CEO 512-368-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA04590) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |