NPI | 1205005006 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK DWAYNE SETZLER Manager 903-266-1599 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2008-02-26 |
Last Update Date | 2012-11-19 |