| NPI | 1154666980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE GRAHAM Office Manager 972-492-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M9680) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2019-05-20 |