NPI | 1154315802 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK WINDHAM Practice Administrator 512-279-6710 |
Organization Subpart ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 710924) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2011-10-28 |