| NPI | 1588040588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEIGH CALDWELL Office Administrator 512-392-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118410) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-11-05 |