| Digestive Care Associates, Pa | |
|
12121 Richmond Ave Suite 200 Houston TX 77082-2432 | |
| (281) 506-0735 | |
| (281) 506-0740 |
| Full Name | Digestive Care Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12121 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Kevin T. Marks (OWNER) |
| Authorized Official Contact | 2815060735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Care Associates, Pa 12121 Richmond Ave Suite 200 Houston TX 77082-2432 Ph: (281) 506-0735 | Digestive Care Associates, Pa 12121 Richmond Ave Suite 200 Houston TX 77082-2432 Ph: (281) 506-0735 |
| NPI Number | 1790860112 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 12/10/2007 |
| Medicare PECOS PAC ID | 3779583976 |
|---|---|
| Medicare Enrollment ID | O20070112000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790860112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | L6514 (Texas) | Primary |
| Provider Name | Kevin T Marks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679585228 PECOS PAC ID: 1052311255 Enrollment ID: I20070112000114 |
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