| NPI | 1295056711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN A MOSER Owner 817-310-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2017-12-01 |