| NPI | 1528410354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P VIK President 512-494-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX K1119) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |