Provider Demographics
NPI:1396160206
Name:DIGESTIVE HEALTH ASSOCIATES OF TEXAS P.A.
Entity type:Organization
Organization Name:DIGESTIVE HEALTH ASSOCIATES OF TEXAS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-689-5960
Mailing Address - Street 1:7610 N STEMMONS FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4231
Mailing Address - Country:US
Mailing Address - Phone:972-689-5960
Mailing Address - Fax:214-630-7293
Practice Address - Street 1:7610 N STEMMONS FWY
Practice Address - Street 2:SUITE 500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4231
Practice Address - Country:US
Practice Address - Phone:972-689-5960
Practice Address - Fax:214-630-7293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization