| NPI | 1720327059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT MICHENER Physician 915-855-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N2838) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M7798) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |