NPI | 1497263552 |
---|---|
Doing Business As | GLOW |
Entity Type | Organization |
Authorized Contact | THERESA M CONYAC Owner, Md 972-722-2526 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P8875) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2019-08-26 |