| NPI | 1487632618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M ANDREW Credentialing Specialist 512-901-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2010-11-15 |