Organization
MODERA CLINIC GI, PLLC
Active
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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