| NPI | 1467077883 |
|---|---|
| Former Legal Business Name | TEXAS GASTRODIAGNOSTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL C GOROSPE President 915-529-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2021-04-06 |