| NPI | 1770814501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LAWLOR Office Manager 512-329-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 555382) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |