| NPI | 1750099735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL (TAD) WIGINTON President 512-636-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |