| NPI | 1780491340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WALKER Practice Manager 512-351-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-01-28 |