| 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 |