| NPI | 1639251051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R. WADDELL Provider 409-212-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M4976) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-09-26 |