| NPI | 1790968105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN GROSS Practice Administrator 972-378-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J6455) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |