| NPI | 1730354572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD E. LEWIS Sole Member 817-433-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX M0150) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |