| NPI | 1871661777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C KEITH GRISHAM Physician Owner 972-781-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K9791) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX K9791) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX K9791) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |