| NPI | 1447827456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HARRIS Director Of Clinical Operations 512-229-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |