| NPI | 1609383660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE COLEHOWER Administrator 512-633-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J9904) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |