| NPI | 1619105079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KENT MCCRAW Owner/Physician 409-727-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J0112) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 23171) |
| 208000000X Pediatrics (Licence: TX J0112) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2012-01-18 |