| NPI | 1619277852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEONARD TADVICK President 325-670-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K5712) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |