Provider Demographics
NPI:1740252550
Name:TEXAS GASTRO CONSULTANTS, P.A.
Entity type:Organization
Organization Name:TEXAS GASTRO CONSULTANTS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:C
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-351-6464
Mailing Address - Street 1:506 GRAHAM DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3348
Mailing Address - Country:US
Mailing Address - Phone:281-351-6464
Mailing Address - Fax:281-351-6476
Practice Address - Street 1:506 GRAHAM DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3348
Practice Address - Country:US
Practice Address - Phone:281-351-6464
Practice Address - Fax:281-351-6476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N10FMedicare PIN
TX00N1FMedicare ID - Type Unspecified