| NPI | 1841265915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C MALE Owner 512-869-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H8229) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H8460) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA01421) | |
| 207Q00000X Family Medicine (Licence: TX PA01580) | |
| 363A00000X Physician Assistant (Licence: TX PA04980) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2010-09-22 |