| 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 |