| NPI | 1861617540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GRAHAM BENNETT Administrator 254-690-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: TX 008360) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-09-02 |