| NPI | 1265719140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIEN BASSAM MALLAT President 972-566-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX L0393) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2012-04-02 |