| NPI | 1568937100 |
|---|---|
| Doing Business As | UT PHYSICIANS ACO LBJ CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW CASAS Chief Operating Officer 832-325-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |