| NPI | 1063013241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J CHANTILIS Medical Director 214-363-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |