| NPI | 1225786122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMED A SHABANEH ALTAMIMI Owner/President 806-441-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-21 |