| NPI | 1902577984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLE AMELIA MATHEY Operations Advisor 512-917-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |