| NPI | 1548545742 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICIA K. BROUGHER Owner 210-692-0404 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H2265) | 
| Enumeration Date | 2011-10-19 | 
| Last Update Date | 2011-10-19 |