| NPI | 1164895355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RAY EDMONDSON Owner/President 817-431-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX G8830) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |