| NPI | 1831421627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J COSSENTINO Physician 915-328-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M9935) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |