| NPI | 1174792733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI LEE TRUELOCK President 830-792-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2013-03-13 |