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 |