| NPI | 1194047084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE T. BACKARDJIEV Registered Agent 409-722-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N4270) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-06-04 |