Campus Gastroenterology | |
3201 University Dr E Ste 320 Bryan TX 77802-3478 | |
(970) 330-7140 | |
Not Available |
Full Name | Campus Gastroenterology |
---|---|
Speciality | Internal Medicine |
Location | 3201 University Dr E Ste 320, Bryan, Texas |
Authorized Official Name and Position | Ben Joseph Elizondo (MANAGER) |
Authorized Official Contact | 9793307140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Campus Gastroenterology 3201 University Dr E Ste 320 Bryan TX 77802-3478 Ph: (979) 330-7140 | Campus Gastroenterology 3201 University Dr E Ste 320 Bryan TX 77802-3478 Ph: (970) 330-7140 |
NPI Number | 1992384382 |
---|---|
Provider Enumeration Date | 04/05/2021 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 7810305224 |
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Medicare Enrollment ID | O20210426000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992384382 | NPI | - | NPPES |
1831109909 | Other | TX | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | (* (Not Available)) | Secondary |
Provider Name | Ben J. Elizondo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831109909 PECOS PAC ID: 6800999277 Enrollment ID: I20140919000160 |
J. T. L. Mcnew, M.d., Faafp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Sulphur Springs Rd, Bryan, TX 77801 Phone: 979-823-8101 Fax: 979-822-7620 | |
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