| NPI | 1154837391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA LOWERY Manager, Credentialing 214-424-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2024-09-17 |