| NPI | 1720072457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LYNN ANDERS Administrative Asst. 512-754-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: TX 000385) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-10-17 |