Provider Demographics
NPI:1710764006
Name:GASTROENTEROLOGY CENTER HOUSTON PLLC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY CENTER HOUSTON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAJULA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-705-0632
Mailing Address - Street 1:2222 GREENHOUSE RD STE 900A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7287
Mailing Address - Country:US
Mailing Address - Phone:346-410-5718
Mailing Address - Fax:
Practice Address - Street 1:2222 GREENHOUSE RD STE 900A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7287
Practice Address - Country:US
Practice Address - Phone:346-410-5718
Practice Address - Fax:832-201-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty