NPI | 1720569882 |
---|---|
Entity Type | Organization |
Authorized Contact | BISRAT A MESFIN CEO 512-947-2747 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
Enumeration Date | 2018-08-27 |
Last Update Date | 2020-07-24 |