| NPI | 1457500035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT BOECKING Director Of Marketing And Operation 512-371-7478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1732) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9693) |
| 111N00000X Chiropractor (Licence: TX 10883) | |
| 208D00000X General Practice (Licence: TX F9289) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2016-09-21 |