| NPI | 1629553763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RAGSDALE Medical Billing Specialist 512-610-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |