| NPI | 1235218348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GORE-GREEN Phyican 940-387-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K7545) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |