| NPI | 1750708061 |
|---|---|
| Doing Business As | BOSTON MEDICAL GROUP TEXAS PA |
| Entity Type | Organization |
| Authorized Contact | JOAN SIMPSON Director 615-562-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-01-31 |