| NPI | 1902966153 |
|---|---|
| Doing Business As | UT MED GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL D SUMROK Md 731-352-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD21860) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-04-30 |