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GASTROENTEROLOGY PRACTICE ASSOCIATES PLLC NPI 1821224825


NPI Information

NPI: 1821224825
Provider Name: GASTROENTEROLOGY PRACTICE ASSOCIATES, PLLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 45D2169722

Address:
301 HIGHLANDER BLVD.
SUITE 121
ARLINGTON, TX
ZIP 76018
Phone: (817) 468-7200
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GASTROENTEROLOGY PRACTICE ASSOCIATES, PLLC is a gastroenterology internal medicine in Arlington, 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. GASTROENTEROLOGY PRACTICE ASSOCIATES, PLLC NPI is 1821224825. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 HIGHLANDER BLVD.
SUITE 121
ARLINGTON, TX
ZIP 76018-164
Phone: (817) 468-7200
Fax: (817) 468-7201

The provider's authorized official is Olufemi Abiodun .
The authorized official title is Owner/physician and has the following contact phone number (817) 468-7200.

The CLIA number assigned to this NPI record is 45D2169722 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/4/2009 and was last updated on 11/4/2015.


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
1207RG0100XInternal MedicineGastroenterologyM2238TEXASYes

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
1I13283MEDICARE UPINTEXAS

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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