| NPI | 1649085051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO SANDOVAL Owner 512-287-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-12-11 |