| NPI | 1841514494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLN G MCCULLOCH Office Manager 325-698-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX D9644) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2011-05-05 |