| NPI | 1609655646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE VP Corporate Secretary 629-253-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-12-16 |