| NPI | 1093522633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS F WADLINGTON Vice President 972-401-9807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |