| NPI | 1659473056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 367A00000X Advanced Practice Midwife | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-12-16 |