| NPI | 1649407834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SUZANNE KELLY-KING Revenue Management Unit Manager 512-458-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-09-23 |