| NPI | 1194732776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN H MCCARTHY Mopa 806-761-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX H7368) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-12-13 |