| NPI | 1508738196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL KIRKLAND Enrollment COO Rdinator 469-893-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |