| NPI | 1790953271 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NELLY DEL CARMEN VELASQUEZ President 512-236-1100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L8547)  | 
| Enumeration Date | 2008-02-18 | 
| Last Update Date | 2025-10-13 |