| Gastroenterology Specialists Of North Houston, Pllc | |
|
17521 St Lukes Way Suite 190 The Woodlands TX 77384-8039 | |
| (936) 321-0000 | |
| Not Available |
| Full Name | Gastroenterology Specialists Of North Houston, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17521 St Lukes Way, The Woodlands, Texas |
| Authorized Official Name and Position | Tawfiq G Alam (OWNER) |
| Authorized Official Contact | 9363210000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Specialists Of North Houston, Pllc 17521 St Lukes Way Ste 190 The Woodlands TX 77384-8040 Ph: (936) 321-0000 | Gastroenterology Specialists Of North Houston, Pllc 17521 St Lukes Way Suite 190 The Woodlands TX 77384-8039 Ph: (936) 321-0000 |
| NPI Number | 1407300643 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 0446548952 |
|---|---|
| Medicare Enrollment ID | O20161017002461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407300643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Tawfiq G Alam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629092689 PECOS PAC ID: 1850292632 Enrollment ID: I20060313000333 |
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