| NPI | 1609400290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TAYLOR JOBE Board President 512-244-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-12-27 |