| NPI | 1124175039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BERG CEO/President 214-345-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 000431) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-11-11 |