| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1013914191 | PROVIDER HEALTHCARE SERVICES OF LULING, LLC | 1105 N MAGNOLIA AVE | LULING | TX | 786481604 | |||
| 1366457723 | PROVIDER HEALTHCARE SERVICES OF LULING, LLC | 3420 EXECUTIVE CENTER DR | AUSTIN | TX | 787311624 |