| NPI | 1790718419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M SADTLER Office Manager 979-764-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX G1054) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L9919) |
| 207Q00000X Family Medicine (Licence: TX G0919) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX L3243) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-09-15 |