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Contact Information

GASTROENTEROLOGY OF TEXAS, PLLC
2510 S LOOP 336 W
STE 336
CONROE, TX77304
 Phone: 713-955-2889
 Fax: 254-780-0332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY OF TEXAS, PLLC

NPI # 1154945111
LBN Legal business name GASTROENTEROLOGY OF TEXAS, PLLC
Authorized official MATTHEW CLARK - (PHYSICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2020
Last updated 10/02/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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