| NPI | 1609041003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DEERWESTER Chief Clinical Officer 512-329-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2013-03-14 |