| NPI | 1750029245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA G WAMPLER Managing Member/Owner 830-214-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |