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 |