| NPI | 1972679322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MONROE GRAHAM Md 817-481-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-04-22 |