| NPI | 1144216391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE NELSON Administrator 972-278-2229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QB0400X Clinic/Center Birthing (Licence: TX 008501) |
| Additional Taxonomies | 261QB0400X Clinic/Center Birthing |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-02-15 |