| NPI | 1932695418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA N OKEKE Nurse 512-694-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2021-01-21 |