| NPI | 1992212492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI BISMAR Consultant 817-551-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L0986) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2020-11-19 |