| NPI | 1467136499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS GEORGE VEITENHEIMER Physician 940-224-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |