| NPI | 1477780567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C COPELAND Billing/Insurance Manager 512-345-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F0084) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2013-02-22 |