| NPI | 1851538565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGELIO TREVINO Owner/President 512-869-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2010-01-18 |