| NPI | 1861992497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LAYNE STOVALL Administrator 512-426-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |