| NPI | 1821273368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENOA NUTT Office Manager 817-473-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L9544) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |