| NPI | 1447874334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MACDONALD EAST CFO 512-699-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2026-02-25 |