Provider Demographics
NPI:1275619082
Name:PASADENA GASTROENTEROLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:PASADENA GASTROENTEROLOGY ASSOCIATES, P.A.
Other - Org Name:DIGESTIVE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-946-9513
Mailing Address - Street 1:4001 PRESTON AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-2069
Mailing Address - Country:US
Mailing Address - Phone:713-946-9513
Mailing Address - Fax:713-946-7210
Practice Address - Street 1:6243 FAIRMONT PKWY STE 203A
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4047
Practice Address - Country:US
Practice Address - Phone:713-946-9513
Practice Address - Fax:713-946-7210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3457174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP085161B9Medicaid
TX1003819582OtherSTEVEN A. FEIN MD NPI #
TX1619970191OtherANDREW VARGAS PA-C NPI
TXP40460Medicare UPIN
TX8A5043Medicare ID - Type UnspecifiedANDREW VARGAS PA-C
TX0055AXMedicare ID - Type UnspecifiedPASADENA GASTROENTEROLOGY
TX1619970191OtherANDREW VARGAS PA-C NPI
TX85161BMedicare ID - Type UnspecifiedSTEVEN A. FEIN MD