| NPI | 1861073736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA DAVIES Medical Director 512-784-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208M00000X Hospitalist | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |