| NPI | 1952670465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE GONZALEZ Owner 512-368-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 709535) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |