| NPI | 1831770585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID CALVIN CEO 512-994-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-12-12 |