NPI | 1003299850 |
---|---|
Doing Business As | DEVINE OBGYN PA |
Entity Type | Organization |
Authorized Contact | SUSAN ROBERTSON DEVINE President 806-791-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H9883) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2015-12-09 |