| NPI | 1154945111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TIMOTHY CLARK Physician Owner 832-510-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-10-02 |