| NPI | 1629685557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL HAVERLAND Owner/Physician 325-665-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |