NPI | 1407168552 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C RALEY President 512-452-2506 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health |
Enumeration Date | 2010-07-06 |
Last Update Date | 2024-04-03 |