| NPI | 1730571175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASCHELL D SPILLERS Owner 512-909-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |