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PARK VENTURA ENDOSCOPY CENTER LLC NPI 1497724942


NPI Information

NPI: 1497724942
Provider Name: PARK VENTURA ENDOSCOPY CENTER, LLC

Doing Business As: DIGESTIVE HEALTH CENTER OF PLANO

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D1041559

Address:
3500 PRESTON RD STE 200
PLANO, TX
ZIP 75093
Phone: (972) 985-2300
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PARK VENTURA ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Plano, TX. PARK VENTURA ENDOSCOPY CENTER, LLC NPI is 1497724942. The provider is registered as an organization entity type.
The provider Is Doing Business As Digestive Health Center Of Plano.

The provider's business location address is:

3500 PRESTON RD STE 200
PLANO, TX
ZIP 75093-644
Phone: (972) 985-2300
Fax: (972) 985-2320

The provider's authorized official is Jeffrey E. Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 45D1041559 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 11/7/2022.


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
1261QE0800XClinic/CenterEndoscopy007950TEXASNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HH002AOTHERTEXASBCBSTX
2159670201MEDICAIDTEXAS

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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