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 |