| NPI | 1932130689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C ONLY President/Owner 512-819-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX L3053) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |