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 |