Provider Demographics
NPI:1669674552
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:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:SATYA
Authorized Official - Last Name:JAYANTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-932-6446
Mailing Address - Street 1:909 FROSTWOOD DR STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2306
Mailing Address - Country:US
Mailing Address - Phone:713-932-6446
Mailing Address - Fax:713-932-6466
Practice Address - Street 1:909 FROSTWOOD DR STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2306
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:2007-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Not Answered261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch