CENTRAL TEXAS

NPI # 

Practice Address:

1301 Barbara Jordan Blvd Ste 300

Austin, TX, 78723-3078

Practice Phone:

512-478-8116

License Number:

AP123930

License State:

TX

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Medical Specialty

Taxonomy Code:

261QM2500X