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560 W Main St Suite 106 Lewisville TX 75057-3629 | |
| (972) 420-8800 | |
| (972) 420-8888 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 560 W Main St, Lewisville, Texas |
| Authorized Official Name and Position | Barry Sanders (PRESIDENT) |
| Authorized Official Contact | 9724208800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
560 W Main St Suite 106 Lewisville TX 75057-3629 Ph: (972) 420-8800 | 560 W Main St Suite 106 Lewisville TX 75057-3629 Ph: (972) 420-8800 |
| NPI Number | 1023143872 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023143872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | F2434 (Texas) | Primary |
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