| NPI | 1215207642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN EDWARD DANHOF President 972-264-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX D0103) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2013-06-19 |