| NPI | 1972905024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH WAGER Executive Admin Asst 512-994-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |