| NPI | 1609268960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JAYNE Owner 832-924-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX K7034) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX K7034) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-09-04 |