| NPI | 1730440199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAPNA JACOB Physician Owner 512-203-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-125939) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |