| NPI | 1407293079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT O'BRIEN Manager 512-222-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX J2712) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |