| NPI | 1396142774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA M DASARI Gastroenterology 409-338-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N1604) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2017-09-02 |