| NPI | 1073059671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL IANCULOVICI Office Manager 832-978-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX M7103) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |