NPI | 1699182667 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY BARROW Credentialling Associate 214-378-4661 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX M9610) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX M2682) |
207LP2900X Anesthesiology, Pain Medicine (Licence: TX L8186) | |
Enumeration Date | 2014-07-22 |
Last Update Date | 2015-04-07 |