| NPI | 1710301874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY GLASER Practice Manager 512-476-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX L0347) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2023-02-28 |