| NPI | 1992725220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D RODDENBERRY President Owner 974-794-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-12-26 |