| NPI | 1962802744 |
|---|---|
| Doing Business As | CENTRAL TEXAS INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RICHARD J. WISEMAN Owner 512-366-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX F0084) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |