| NPI | 1699701193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BEATRICE WERSINGER Office Manager, M.A. 512-448-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX G7621) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-07-06 |