NPI | 1730797788 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK WAYNE SHEN President 512-779-7276 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |