| NPI | 1760722797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JURAIRAT MOLINA President And Director 512-326-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L2478) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX L2478) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 659074) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |