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 |