| NPI | 1750068144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACK RAGSDALE Director 512-454-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology Addiction Medicine |
| 207QA0401X Family Medicine Addiction Medicine | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-04-22 |