| NPI | 1679703698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HANSEN Owner 512-345-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |