| NPI | 1649459231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POKU Director/Officer 512-736-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261Q00000X Clinic/Center | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2025-08-18 |