| NPI | 1326097999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN NICKERSON President 915-532-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX F6997) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |