| NPI | 1609523158 |
|---|---|
| Doing Business As | MAIN STREET OB/GYN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER S. STEEN CEO 214-402-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2023-03-08 |