| NPI | 1669795100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ABBOTT Manager 512-699-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: TX 2002157492) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 656130) |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: TX 2002157492) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-04-07 |