| NPI | 1568432565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI BISMAR Consultant 817-551-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L0986) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-03-11 |