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GASTROENTEROLOGY DIAGNOSTIC CLINIC NPI 1538158563


NPI Information

NPI: 1538158563
Provider Name: GASTROENTEROLOGY DIAGNOSTIC CLINIC,
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 45D2184712

Address:
5050 CRENSHAW RD
#200
PASADENA, TX
ZIP 77505
Phone: (281) 998-2488
Get Directions

GASTROENTEROLOGY DIAGNOSTIC CLINIC, is a gastroenterology internal medicine in Pasadena, 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. GASTROENTEROLOGY DIAGNOSTIC CLINIC, NPI is 1538158563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5050 CRENSHAW RD
#200
PASADENA, TX
ZIP 77505-139
Phone: (281) 998-2488
Fax: (281) 998-2482

The provider's authorized official is Maurice S Haddad .
The authorized official title is Owner/physician and has the following contact phone number (281) 998-2488.

The CLIA number assigned to this NPI record is 45D2184712 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 10/15/2012.


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 MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1094050401MEDICAIDTEXAS
200U25BMEDICARE PINTEXAS

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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