Organization
TEXAS GASTROENTEROLOGY PLLC
Active
Organization
TEXAS GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANMANTH R BEJJANKI MD (PHYSICIAN)
(817) 994-5786
Entity
Organization
Contact information
Practice address
203 WALLS DR STE 209, CLEBURNE, TX 76033-7029
(817) 648-0123
Mailing address
6809 SAUCON VALLEY DR, FORT WORTH, TX 76132-7125
(817) 994-5786
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L0026
TX
Other
Enumeration date
06/05/2017
Last updated
06/01/2020
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