| NPI | 1801317904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYA DIWAN Sr. Director Of Operations 512-458-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-05-03 |