| NPI | 1104980598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY DARLENE NICHOLS Office Manager 409-212-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L3676) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-16 |