| NPI | 1255416640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA C. KEENE Sole Proprietor 956-729-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K5578) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |