| NPI | 1164722401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE LE NGUYEN Director 469-234-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX N5283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N5283) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2017-04-07 |