| NPI | 1063909034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BENNETT Office Manager 817-571-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M6131) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-08-17 |