45D0943109 CLIA NUMBER - TEXAS DIGESTIVE DISEASE CONSULTANTS PA

Laboratory Demographics

CLIA Number: 45D0943109

Facility Name: TEXAS DIGESTIVE DISEASE CONSULTANTS PA

Facility Address:
505 S NOLEN DRIVE, SUITE A
SOUTHLAKE, TX
ZIP 76092
Get Directions

Facility Phone Number: 817 424-1525

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649256546

Taxonomy: 207RG0100X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	45D0943109
LAB Type	Physician Office
Facility Name	TEXAS DIGESTIVE DISEASE CONSULTANTS PA
Street	505 S NOLEN DRIVE, SUITE A
City	SOUTHLAKE
State	TX
ZIP	76092
Phone	817 424-1525
CertificateType	4
CertificateEffectiveDate	3/23/2024
CertificateExpirationDate	3/22/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024