| NPI | 1053468777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R ANDERSON Physician President 979-693-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |