NPI | 1063637353 |
---|---|
Former Name | DARCIE TERRELL REASONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 6020556-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6020556-1205) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2024-01-30 |