| NPI | 1578505293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA AYODELLE HEYLIGER President 512-246-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M2644) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |