| NPI | 1538864871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYTON THOMPSON Medical Director 512-460-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-09-06 |