| NPI | 1922593250 |
|---|---|
| Doing Business As | THE SOURCE |
| Entity Type | Organization |
| Authorized Contact | MARY WHITEHURST Chief Operating Officer 512-374-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-08-29 |