| NPI | 1760976617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY KEETON Owner/Provider 512-645-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126404) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |