| NPI | 1750701991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUIN P MATTHEWS Owner 817-870-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J4909) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |