| NPI | 1851433718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE PETERSON Practice Manager 512-342-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 007965) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |