Promontory Geriatrics LLC

NPI #1194044792 in Desoto, Texas

Provider Information

NPI Number: 1194044792
Entity Type: Organization
Organization Name: Promontory Geriatrics LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2010
Last Updated: Apr 17, 2025

Practice Location

Address: 2727 BOLTON BOONE DR STE 114
City: Desoto
State: Texas
ZIP Code: 75115-2019
Phone: (469) 857-3142

Authorized Official

Name: GENE O BIGHAM
Title: MANAGING OFFICER
Phone: (469) 857-3142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207QH0002X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Internal Medicine	207R00000X	Primary

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