| NPI | 1427587732 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSHUA MARCUS LANGOHR Psychiatric Nurse Practitioner 512-308-6271 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128475) | 
| Enumeration Date | 2017-06-08 | 
| Last Update Date | 2017-06-08 |