| NPI | 1750600623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA A. KEMP Office Manager 512-341-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H7068) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J7423) |
| 207V00000X Obstetrics & Gynecology (Licence: TX M8601) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2012-02-13 |