| NPI | 1528158243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE PEWTERBAUGH Secretary/Office Manager 940-483-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: TX 004943) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |