Gastroenterology Diagnostic Clinic,

LBN: Gastroenterology Diagnostic Clinic,
Gastroenterology Diagnostic Clinic, is an health care organization with primary practice located at 5050 Crenshaw Rd #200, Pasadena TX 77505-3139. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Gastroenterology Diagnostic Clinic, can be contacted via phone (281) 998-2488, or through Haddad, Maurice S via phone (281) 998-2488.

Contact Information

Primary practice address
5050 Crenshaw Rd #200 Pasadena TX 77505-3139
Fax: (281) 998-2482
Website:
Authorized official contact:
Name: Haddad, Maurice S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1538158563
LBN Legal business name Gastroenterology Diagnostic Clinic,
DBA Doing business as
Authorized official Haddad, Maurice S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Oct 15th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538158563 NPPES
Texas MEDICAID 094050401

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