| NPI | 1730303561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY FYE Deputy Director Of Finance 512-499-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E8749) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-09-04 |