# COLONOSCOPYASSIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578973277
- **Authorized official:** MEDICAL DIRECTOR (DIRECTOR)
- **Authorized official phone:** (855) 542-6566

## Contact information

- **Practice address:** 2100 VALLEY VIEW LN \# 490, FARMERS BRANCH, TX 75234-8953
- **Practice address phone:** (855) 542-6566
- **Practice address fax:** (847) 847-2888
- **Mailing address:** 2100 VALLEY VIEW LN \# 490, FARMERS BRANCH, TX 75234-8953
- **Mailing address phone:** (855) 542-6566
- **Mailing address fax:** (847) 847-2888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2014
- **Last updated:** 07/21/2022