| NPI | 1669625901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H GOLF Owner 512-448-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: TX 0582) |
| Additional Taxonomies | 213ES0131X (Licence: TX 1871) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2018-10-29 |