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DIGESTIVE AND LIVER DISEASES CLINIC PA NPI 1730299090


NPI Information

NPI: 1730299090
Provider Name: DIGESTIVE AND LIVER DISEASES CLINIC PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 45D2073094

Address:
17200 ST LUKES WAY
CONROE, TX
ZIP 77384
Phone: (936) 266-2000
Get Directions

DIGESTIVE AND LIVER DISEASES CLINIC PA is a gastroenterology internal medicine in Conroe, 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 DISEASES CLINIC PA NPI is 1730299090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17200 ST LUKES WAY
CONROE, TX
ZIP 77384-007
Phone: (936) 266-2000

The provider's authorized official is Ilyas M Memon .
The authorized official title is Director and has the following contact phone number (713) 401-0733.

The CLIA number assigned to this NPI record is 45D2073094 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


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

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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