| NPI | 1376017715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DRAKE Physician 214-729-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2021-03-03 |