| NPI | 1720274020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G GOLDABER President 817-467-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX H3815) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2012-11-02 |