NPI | 1629383054 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC ALBERT IBANEZ President 512-222-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX M4188) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2011-02-24 |