NPI | 1992731814 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA ASKEY COO 512-288-0859 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-06-23 |
Last Update Date | 2010-11-24 |