| NPI | 1851619837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN FAGNER Owner 512-250-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 644886) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2014-06-19 |