| NPI | 1134764673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE BRIDGES President 432-332-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-02-21 |