NPI | 1073808416 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MCDAVITT Administrator 281-979-5542 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX M7392) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2011-06-14 |