GASTROENTEROLOGY ASSOC. LLP NPI 1508846049

NPI Information

  • NPI: 1508846049
  • Provider Name: GASTROENTEROLOGY ASSOC., LLP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 45D0865710
  • Address: 1249 AMBLER AVE
    SUITE 200
    ABILENE, TX
    ZIP 79601
  • Phone: (325) 677-2626

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NPI Details

GASTROENTEROLOGY ASSOC., LLP is a specialist in Abilene, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GASTROENTEROLOGY ASSOC., LLP NPI is 1508846049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1249 AMBLER AVE
SUITE 200
ABILENE, TX
ZIP 79601-351
Phone: (325) 677-2626
Fax: (325) 677-6835

The provider's authorized official is Gary D Roark .
The authorized official title is Physician and has the following contact phone number (325) 677-2626.

The CLIA number assigned to this NPI record is 45D0865710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 9/9/2011.

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
1174400000XSpecialistTEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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