| NPI | 1922079128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC STUART TIBLIER Owner/President 512-206-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J6767) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-10-03 |