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PEDIATRIC GASTROENTEROLOGY CONSULANTS PA NPI 1386687762


NPI Information

NPI: 1386687762
Provider Name: PEDIATRIC GASTROENTEROLOGY CONSULANTS, PA
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

CLIA Number: 45D1023275

Address:
740 HOSPITAL DR
SUITE 120
BEAUMONT, TX
ZIP 77701
Phone: (409) 813-3883
Get Directions

PEDIATRIC GASTROENTEROLOGY CONSULANTS, PA is a pediatric gastroenterology pediatrics in Beaumont, TX. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. PEDIATRIC GASTROENTEROLOGY CONSULANTS, PA NPI is 1386687762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

740 HOSPITAL DR
SUITE 120
BEAUMONT, TX
ZIP 77701-670
Phone: (409) 813-3883
Fax: (409) 813-3848

The provider's authorized official is Bashar Alaswad .
The authorized official title is President and has the following contact phone number (409) 813-3883.

The CLIA number assigned to this NPI record is 45D1023275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 1/26/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyK0597TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F71709MEDICARE UPINTEXAS
2179187301MEDICAIDTEXAS
3=========OTHERTEXASTAX ID
400W175MEDICARE PINTEXAS

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: 5/5/2024

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