| NPI | 1558692665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTEE MORRIS Credentialing 817-540-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |