| NPI | 1861807968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L PRICE Office Manager 409-832-7394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX G5180) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-07-08 |