| NPI | 1891746970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID CALVIN CEO 512-686-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2024-06-12 |