OLD TOWN ENDOSCOPY CENTER LLC NPI 1821067554

NPI Information

OLD TOWN ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Dallas, TX. OLD TOWN ENDOSCOPY CENTER LLC NPI is 1821067554. The provider is registered as an organization entity type.
The provider Is Doing Business As Digestive Health Center Of Dallas.

The provider's business location address is:

9500 N CENTRAL EXPY STE 200
DALLAS, TX
ZIP 75231-128
Phone: (214) 739-9544
Fax: (214) 739-9582

The provider's authorized official is Wendel M Wainner .
The authorized official title is Vice President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 45D0478476 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 10/19/2020.

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:

Other Identifiers

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