| NPI | 1275549776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LEWALLEN CAVAZAS Vice President Sec. Of P.A. 210-692-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |