| NPI | 1003206285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELVE JUSTIN GAYLE Physician 979-229-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J6453) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2021-04-09 |