| NPI | 1487164752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN RODRIGUE Owner/Sole Member 972-217-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M8289) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-01-10 |