| NPI | 1912789595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN WATSON Co Owner/Chief Medical Officer 512-623-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-07-12 |