| 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 |