| NPI | 1033413091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA W JACKSON Physicain 972-981-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J9439) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-26 |