| NPI | 1326710799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA JIMENEZ THOMPSON Member Manager 972-528-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |