| NPI | 1437363926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A LIVELY Owner Physician 432-580-9168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX H6384) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-03-07 |