| NPI | 1538589510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY SHAPIRO Physician 512-478-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX AP123930) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |