| NPI | 1902185374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WEBER Speech Language Pathologist 512-331-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TX 105409) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |