| NPI | 1689838120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SMITH Owner 318-325-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD012257) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2009-05-07 |