| NPI | 1972926699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDALAN ZAHEDI Owner 512-583-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 25493) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |