| NPI | 1578198164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY LORRAINE BRACE D Irector 512-779-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-08-04 |