NPI | 1386660744 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY GILLEY Managing Employee 361-570-1082 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-07-15 |
Last Update Date | 2010-12-06 |