| NPI | 1184952392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAISHREE RIVA ELLIS President 903-343-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M9998) |
| Enumeration Date | 2009-11-28 |
| Last Update Date | 2009-11-28 |