| NPI | 1295428415 |
|---|---|
| Other Name | GASTROENTEROLOGY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTINA KAY LOWERY Credentialing Manager 469-930-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |