| NPI | 1710168935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN AUSTIN STEPHENS President Md 512-454-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J9820) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |