NPI | 1659591196 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYANN E PREWITT Owner Physician 972-380-1099 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX H8337) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |