| NPI | 1629892344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE LEUMALIEU Director 512-705-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2025-07-18 |