| NPI | 1932825320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LYLES CEO 512-410-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-03-21 |