Provider Demographics
NPI:1518119395
Name:HOUSTON ENDOSCOPY AND RESEARCH CENTER
Entity Type:Organization
Organization Name:HOUSTON ENDOSCOPY AND RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:JAYANTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-932-6446
Mailing Address - Street 1:10837 KATY FWY
Mailing Address - Street 2:SUITE 175
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2207
Mailing Address - Country:US
Mailing Address - Phone:713-932-6446
Mailing Address - Fax:713-932-6466
Practice Address - Street 1:10837 KATY FWY
Practice Address - Street 2:SUITE 175
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2207
Practice Address - Country:US
Practice Address - Phone:713-932-6446
Practice Address - Fax:713-932-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-11
Last Update Date:2008-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy