| NPI | 1134741556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SKILLERN Owner 512-516-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-08-04 |