| NPI | 1598791634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ROACH Center Director 512-891-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-09-11 |