| NPI | 1649700808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM M TORRES Owner 817-280-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N1926) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 41197) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2019-06-11 |