| NPI | 1679826911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMA WIDEMAN Office Manager 972-722-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H3199) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |