| NPI | 1851611933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LEE GLASS President 325-437-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N1649) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 782340) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-03-07 |