| NPI | 1215478326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MACE-MOTTA Owner 817-317-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX J9185) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |