| NPI | 1518250844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH LEHMAN Credentialing Specialist 512-259-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TX L6031) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-11-14 |