| NPI | 1073129458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CHRISTINE NORTHROP Doctor 817-542-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2025-03-31 |