| NPI | 1710145685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ANN WAGMAN Physician/Owner 214-696-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L3174) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |