NPI | 1194114033 |
---|---|
Other Name | NONE |
Entity Type | Organization |
Authorized Contact | DONALD LEWIS Md 731-422-4642 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN md0000005534) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |