| NPI | 1730100694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNAE WHITE Front Office 512-454-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2024-07-17 |