| NPI | 1235485079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANITA JAMELLE CRABLE Owner 469-364-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N9197) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |