| NPI | 1528248564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY RANDOLPH STEPHENS President 972-312-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-04-09 |