| NPI | 1588037758 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIEL SLAUGHTER Md/Owner 512-601-0303 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX J0268) | 
| Enumeration Date | 2015-11-09 | 
| Last Update Date | 2018-10-12 |