| NPI | 1982880647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS I FANOUS Owner 903-526-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX H8030) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-14 |