| NPI | 1790598381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALYN BROSSFIELD Medical Director 769-691-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |