| NPI | 1922593250 |
|---|---|
| Doing Business As | THE SOURCE |
| Entity Type | Organization |
| Authorized Contact | MARIA TOMLINSON Chief Operating Officer 512-374-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2026-03-18 |