| NPI | 1831364892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHORTINO Administrator 512-784-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX E2940) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2012-05-08 |