| NPI | 1437446192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN FAGNER Owner 512-250-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 644886) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |