| NPI | 1942685409 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FARBOD MASROUR Owner 214-320-7680  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N9262)  | 
| Enumeration Date | 2015-07-27 | 
| Last Update Date | 2015-11-05 |