NPI | 1881578961 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON MARTIN Owner 512-234-4685 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2025-08-02 |
Last Update Date | 2025-08-04 |