| NPI | 1831490747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN BRADFORD Owner 817-926-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J4000) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-12-28 |