| NPI | 1659815827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE HALL Medical Director And Owner 512-327-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |