| NPI | 1598272338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD CALLAS Owner 512-454-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2023-04-20 |