| NPI | 1164819819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN RANDALL TATE Owner 817-334-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L3851) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |