| NPI | 1811185572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA WALKER Administrator 214-821-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |