| North Texas Gastroenterology Associates, Pllc | |
|
204 Medical Dr Ste 240 Sherman TX 75092-6372 | |
| (903) 364-4525 | |
| Not Available |
| Full Name | North Texas Gastroenterology Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 Medical Dr Ste 240, Sherman, Texas |
| Authorized Official Name and Position | Joseph Kim (OWNER) |
| Authorized Official Contact | 9034872248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Gastroenterology Associates, Pllc Po Box 837 Howe TX 75459-0837 Ph: () - | North Texas Gastroenterology Associates, Pllc 204 Medical Dr Ste 240 Sherman TX 75092-6372 Ph: (903) 364-4525 |
| NPI Number | 1407448178 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Medicare PECOS PAC ID | 5092114140 |
|---|---|
| Medicare Enrollment ID | O20210524000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407448178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jermaine G Clarke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841498094 PECOS PAC ID: 7719133164 Enrollment ID: I20120820000019 |
| Provider Name | Joseph K Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174765622 PECOS PAC ID: 3577797547 Enrollment ID: I20161018000957 |
| Provider Name | Leslie A Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003427907 PECOS PAC ID: 5193139079 Enrollment ID: I20210204002116 |
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