| NPI | 1487917324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUDRUN P COBB Owner 512-989-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 680265) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |