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PREMIER GASTROENTEROLOGY OF TEXAS PA NPI 1265719140


NPI Information

NPI: 1265719140
Provider Name: PREMIER GASTROENTEROLOGY OF TEXAS PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
7777 FOREST LANE BLDG. C
SUITE 204
DALLAS, TX
ZIP 75230
Phone: (972) 566-5266
Get Directions

PREMIER GASTROENTEROLOGY OF TEXAS PA is a gastroenterology internal medicine in Dallas, TX. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PREMIER GASTROENTEROLOGY OF TEXAS PA NPI is 1265719140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7777 FOREST LANE BLDG. C
SUITE 204
DALLAS, TX
ZIP 75230-513
Phone: (972) 566-5266
Fax: (972) 566-5245

The provider's authorized official is Damien Bassam Mallat .
The authorized official title is President and has the following contact phone number (972) 566-5266.

The enumeration date for this NPI number is 11/7/2011 and was last updated on 4/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyL0393TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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