| NPI | 1942500913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN W QUIST President 817-926-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H2705) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2011-03-25 |