| NPI | 1538186556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN LOSTAK President 214-948-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX H0576) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |