| Greater Houston Digestive Disease Consultants | |
|
134 Vision Park Blvd Ste 280 Shenandoah TX 77384-3032 | |
| (281) 205-1111 | |
| (281) 419-2111 |
| Full Name | Greater Houston Digestive Disease Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 134 Vision Park Blvd Ste 280, Shenandoah, Texas |
| Authorized Official Name and Position | Annemarie Awasum (ADMINISTRATOR) |
| Authorized Official Contact | 2813233162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Houston Digestive Disease Consultants 134 Vision Park Blvd Ste 280 Shenandoah TX 77384-3032 Ph: (281) 205-1111 | Greater Houston Digestive Disease Consultants 134 Vision Park Blvd Ste 280 Shenandoah TX 77384-3032 Ph: (281) 205-1111 |
| NPI Number | 1396050514 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 0446374060 |
|---|---|
| Medicare Enrollment ID | O20100902000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396050514 | NPI | - | NPPES |
| 2821480 | Medicaid | TX | |
| 2821480-02 | Medicaid | TX |
| Provider Name | Serge B Awasum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164416608 PECOS PAC ID: 6608896907 Enrollment ID: I20051201000490 |
| Provider Name | Anne Kimberly Louangpho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205302544 PECOS PAC ID: 3971909565 Enrollment ID: I20210907003003 |
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