| NPI | 1669962064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GONZALES CEO 512-730-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-12-19 |