| NPI | 1750040358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE KENT Owner 512-564-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2023-04-27 |