| NPI | 1598400665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE SEXTON Administrative Director 512-566-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2024-03-25 |