| NPI | 1063881076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANAH A JIBRIL Physician/Owner 817-832-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J9718) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-25 |