| NPI | 1912430281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE REDMAN CEO 512-482-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-02-04 |