| NPI | 1760653620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY G BECKWITH Owner 817-737-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX D4711) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-06-18 |