| NPI | 1891000873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J PETERS Owner 512-454-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TX F7045) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |