| NPI | 1700170313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI LYN SCOTT Owner 512-922-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX 710481) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |