| NPI | 1083934830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KAMYAR MOGHADAM Director/Physician 512-339-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX N5874) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |