NPI | 1760158273 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DAVEY CEO 512-657-1089 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-10-13 |