| NPI | 1679804231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E HANSEN Owner 512-345-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |