| NPI | 1023835576 |
|---|---|
| Doing Business As | NORTHEAST TEXAS COLORECTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT CLOUD Owner 972-497-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-10-21 |