| NPI | 1710430509 |
|---|---|
| Doing Business As | KENNETH TAM |
| Entity Type | Organization |
| Authorized Contact | KENNETH TAM Nurse Practitioner 512-291-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118688) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-28 |