| NPI | 1962891275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE CLARKE Gastroenterologist 903-364-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P2971) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-09-21 |