| NPI | 1215987490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KACY BAITZ Administrator 254-537-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-02-29 |