| Texas Gastrointestinal Associates Pa | |
|
2694 N Galloway Ave Ste 501 Mesquite TX 75150 | |
| (972) 681-2226 | |
| (972) 681-7838 |
| Full Name | Texas Gastrointestinal Associates Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2694 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Fayez G Self (PHYSICAN PARTNER) |
| Authorized Official Contact | 9726812226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Gastrointestinal Associates Pa 2694 N Galloway Ave Ste 501 Mesquite TX 75150 Ph: (972) 681-2226 | Texas Gastrointestinal Associates Pa 2694 N Galloway Ave Ste 501 Mesquite TX 75150 Ph: (972) 681-2226 |
| NPI Number | 1114944840 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114944840 | NPI | - | NPPES |
| 109497101 | Medicaid | TX | |
| 109497102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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