| NPI | 1942850565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WITHERS CFO And Sr VP For Operations 936-294-2686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-10-07 |