Organization
GASTROENTEROLOGY INSTITUTE, INC.
Active
Other names
GII
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID M. MOUSSA M.D. (PRESIDENT)
(985) 868-7773
Entity
Organization
Contact information
Practice address
855 BELANGER ST, SUITE 205, HOUMA, LA 70360-4463
(985) 868-7773
(985) 868-4242
Mailing address
PO BOX 4041, HOUMA, LA 70361-4041
(985) 868-7773
(985) 868-4242
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
201030
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099058
—
LA
01
—
1922116631
NPI
—
Enumeration date
01/26/2010
Last updated
01/26/2010
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