| NPI | 1861660151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN M HAWTHORNE Medical Director 512-443-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 130007) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2017-04-06 |