| NPI | 1457598690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO MIRANDA Physician/Owner 512-477-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E2740) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |