| NPI | 1346279221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HANCOCK Md 806-761-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX H8676) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-02-03 |