| 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 | 2018-06-28 |