| NPI | 1316254469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH DAVENPORT Owner 512-268-0286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L6341) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2019-12-30 |