Provider Demographics
NPI:1194028142
Name:GASTROENTEROLOGY & LIVER ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY & LIVER ASSOCIATES, PLLC
Other - Org Name:GALA HISTOLOGY LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:M. RADWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-SABBAGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-783-4252
Mailing Address - Street 1:3030 S GESSNER RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3765
Mailing Address - Country:US
Mailing Address - Phone:713-783-4252
Mailing Address - Fax:713-783-4262
Practice Address - Street 1:3030 S GESSNER RD
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3765
Practice Address - Country:US
Practice Address - Phone:713-783-4252
Practice Address - Fax:713-783-4262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GASTROENTEROLOGY & LIVER ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory