| 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 |