| NPI | 1891166948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SWYNENBERG Provider/Owner 512-766-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121892) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-04-30 |