| NPI | 1568473916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A TAKATA President CEO 903-677-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX K7400) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |