| NPI | 1689697807 |
|---|---|
| Doing Business As | MARY BLACK GASTROENTEROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | REBECCA HURLEY Senior Vice President 214-473-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |