| NPI | 1427933753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOIRA K GALLAGHER CEO Owner & Operator 512-798-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-11-18 |