| NPI | 1942665906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY FOSTER Vice President 512-542-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 46401) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 7672) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-18 |