| NPI | 1538534086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MOORE President 512-535-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2020-05-12 |