| Houston Gastro Institute Pllc | |
|
25230 Kingsland Blvd Ste 101 Katy TX 77494-2097 | |
| (281) 746-9284 | |
| (877) 327-8082 |
| Full Name | Houston Gastro Institute Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25230 Kingsland Blvd Ste 101, Katy, Texas |
| Authorized Official Name and Position | Vivian A Asamoah (PHYSICIAN) |
| Authorized Official Contact | 4109400561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Gastro Institute Pllc 25230 Kingsland Blvd Ste 101 Katy TX 77494-2097 Ph: (281) 746-9284 | Houston Gastro Institute Pllc 25230 Kingsland Blvd Ste 101 Katy TX 77494-2097 Ph: (281) 746-9284 |
| NPI Number | 1811238454 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5193956563 |
|---|---|
| Medicare Enrollment ID | O20140327001792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811238454 | NPI | - | NPPES |
| P0163 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | P0163 (Texas) | Primary |
| Provider Name | Vivian A Asamoah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326191081 PECOS PAC ID: 3678745296 Enrollment ID: I20111004000315 |
| Provider Name | Olakumbi B Otulana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760769699 PECOS PAC ID: 7911286554 Enrollment ID: I20180108001934 |
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