NPI | 1598195042 |
---|---|
Doing Business As | WISEMAN FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LAURA COPELAND Mgr 512-345-8970 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M9746) |
Enumeration Date | 2013-11-20 |
Last Update Date | 2013-11-20 |