NPI | 1851131692 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS DAY CFO 512-792-4402 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |