| NPI | 1497864490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN S. DISRAELI Presidemt 972-272-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX D3853) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |