Organization
MODERA CLINIC GI, PLLC
Active
Other names
Modera GI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR HUBER DO (PRESIDENT)
(972) 987-0458
Entity
Organization
Contact information
Practice address
5575 FRISCO SQUARE BLVD, 220, FRISCO, TX 75034-3303
(469) 920-2302
Mailing address
5575 FRISCO SQUARE BLVD, #220, FRISCO, TX 75034-3303
(469) 920-2302
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
10/04/2023
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