| NPI | 1659767747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANDER STRATEN Medical Director 512-475-8346 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 793755) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |