| NPI | 1821287905 |
|---|---|
| Former Legal Business Name | FAMILY MEDICINE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GLORIA BEENE Office Manager 512-453-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L1104) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-12-07 |