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DIGESTIVE AND LIVER DISEASE CENTER OF SAN ANTONIO PLLC NPI 1124578612


NPI Information

NPI: 1124578612
Provider Name: DIGESTIVE AND LIVER DISEASE CENTER OF SAN ANTONIO PLLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 45D2152866

Address:
12602 TOEPPERWEIN RD STE 205
LIVE OAK, TX
ZIP 78233
Phone: (210) 650-9119
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DIGESTIVE AND LIVER DISEASE CENTER OF SAN ANTONIO PLLC is a gastroenterology internal medicine in Live Oak, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DIGESTIVE AND LIVER DISEASE CENTER OF SAN ANTONIO PLLC NPI is 1124578612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12602 TOEPPERWEIN RD STE 205
LIVE OAK, TX
ZIP 78233-271
Phone: (210) 650-9119
Fax: (210) 650-9681

The provider's authorized official is Roberto M Narvaez .
The authorized official title is Managing Member and has the following contact phone number (210) 650-9119.

The CLIA number assigned to this NPI record is 45D2152866 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 11/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyH5014TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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