| NPI | 1942526991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALATHI VISWANATHAN ELLIS Physician 972-406-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M1655) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |