| NPI | 1902119639 |
|---|---|
| Doing Business As | PREMIER GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | SCREVEN TRACY EDGERTON CEO 512-299-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX M1080) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-28 |