| NPI | 1093112815 |
|---|---|
| Other Name | DESOTO OB-GYN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAGDISH A MEHTA Vice President 662-349-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |