| NPI | 1427389089 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALEXANDER O'BRIEN Owner 512-632-4886 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX J2712) | 
| Enumeration Date | 2010-01-21 | 
| Last Update Date | 2010-01-21 |