| NPI | 1063142115 |
|---|---|
| Doing Business As | MODERA GI |
| Entity Type | Organization |
| Authorized Contact | TREVOR HUBER President 972-987-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-10-04 |