| NPI | 1588432397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT MESFIN President 512-947-2747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |