| NPI | 1295221786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KENIA ROSS RILEY Managing Member 469-801-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX Q3590) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2021-02-04 |