Organization
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KAY LOWERY (CREDENTIALING MANAGER)
(317) 919-9025
Entity
Organization
Contact information
Practice address
701 TUSCAN DR, STE 110, IRVING, TX 75039-4133
(214) 496-1100
(214) 402-8645
Mailing address
950 E STATE HIGHWAY 114 STE 200, SOUTHLAKE, TX 76092-5261
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A85W
BCBS GRP
TX
05
—
081585401
—
TX
Enumeration date
12/19/2005
Last updated
04/21/2026
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