| Digestive Health Clinic Of El Paso P A | |
|
Suite 4a 1250 E. Cliff Dr. El Paso TX 79902-4850 | |
| (915) 541-7000 | |
| (915) 541-7002 |
| Full Name | Digestive Health Clinic Of El Paso P A |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | Suite 4a 1250 E. Cliff Dr., El Paso, Texas |
| Authorized Official Name and Position | Venkateswara Rao Kolli (OWNER) |
| Authorized Official Contact | 9154333924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Clinic Of El Paso P A Suite 4a 1250 E. Cliff Dr. El Paso TX 79902-4850 Ph: (915) 541-7000 | Digestive Health Clinic Of El Paso P A Suite 4a 1250 E. Cliff Dr. El Paso TX 79902-4850 Ph: (915) 541-7000 |
| NPI Number | 1982641874 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982641874 | NPI | - | NPPES |
| 119036501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | J 5805 (Texas) | Primary |
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