| NPI | 1407517808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA K MORROW Owner 817-878-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |