| NPI | 1962683599 | 
|---|---|
| Other Name | LSCC OBGYN GROUP | 
| Entity Type | Organization | 
| Authorized Contact | JONATHAN DAVID CALVIN CEO 512-994-1933  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology | 
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2007-11-26 | 
| Last Update Date | 2025-05-06 |