| NPI | 1558587568 |
|---|---|
| Doing Business As | TRI-STATE HEALTHCARE FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | ERICA MONTGOMERY Office Manager 622-342-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 9374) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-18 |