| NPI | 1164819603 |
|---|---|
| Doing Business As | CONCHO VALLEY OB-GYN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICHELE MOSS Sole Proprietor 325-944-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TX K7835) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-09-29 |