| NPI | 1902446321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MENGE Owner 512-565-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |