| Bay Area Gastroenterology, Pa | |
|
1015 Medical Center Blvd Suite 1700 Webster TX 77598-4011 | |
| (281) 404-0360 | |
| (281) 480-4046 |
| Full Name | Bay Area Gastroenterology, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1015 Medical Center Blvd, Webster, Texas |
| Authorized Official Name and Position | Ravi S Mani (PRESIDENT) |
| Authorized Official Contact | 2814040360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Gastroenterology, Pa 1015 Medical Center Blvd Suite 1700 Webster TX 77598-4011 Ph: (281) 404-0360 | Bay Area Gastroenterology, Pa 1015 Medical Center Blvd Suite 1700 Webster TX 77598-4011 Ph: (281) 404-0360 |
| NPI Number | 1629142211 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629142211 | NPI | - | NPPES |
| 00784N | Other | TX | BCBS |
| 10005940 | Other | TX | AMERIGROUP MCARE MCAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | H0110 (Texas) | Primary |
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