| NPI | 1619283181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY Owner 817-921-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX E4400) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |