| NPI | 1063754109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DOWNEY Owner 972-231-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-03-02 |