| NPI | 1114970456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES MAHAN Medical Doctor 281-812-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J4320) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-08-20 |