| NPI | 1841824927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KLOSTERMAN CFO 512-730-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-11-23 |