SUMMIT GASTROENTEROLOGY PLLC NPI 1114355385

NPI Information

  • NPI: 1114355385
  • Provider Name: SUMMIT GASTROENTEROLOGY PLLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 309 REGENCY PKWY STE 101
    MANSFIELD, TX
    ZIP 76063
  • Phone: (682) 400-2153

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NPI Details

SUMMIT GASTROENTEROLOGY PLLC is a gastroenterology internal medicine in Mansfield, 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. SUMMIT GASTROENTEROLOGY PLLC NPI is 1114355385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

309 REGENCY PKWY STE 101
MANSFIELD, TX
ZIP 76063-165
Phone: (682) 400-2153
Fax: (972) 572-2228

The provider's authorized official is Sunitha Pudhota .
The authorized official title is Owner and has the following contact phone number (682) 400-2153.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 5/29/2019.

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
1207RG0100XInternal MedicineGastroenterologyP1484TEXASYes

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: 3/30/2025

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