| NPI | 1700538287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MICHAEL RHODEN Owner 512-906-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-03-10 |