NPI | 1316602865 |
---|---|
Entity Type | Organization |
Authorized Contact | AVERY SMITH Physician, General Partner 432-296-2380 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2021-10-31 |
Last Update Date | 2022-01-11 |