NPI | 1427367796 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN RANDALL GORDEN President 915-503-1804 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L3666) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |