Organization
TEXAS GASTROINTESTINAL ASSOCIATES PA
Active
Organization
TEXAS GASTROINTESTINAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYEZ G SELF MD (PHYSICAN PARTNER)
(972) 681-2226
Entity
Organization
Contact information
Practice address
2694 N GALLOWAY AVE, STE 501, MESQUITE, TX 75150
(972) 681-2226
(972) 681-7838
Mailing address
2694 N GALLOWAY AVE, STE 501, MESQUITE, TX 75150
(972) 681-2226
(972) 681-7838
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109497101
—
TX
05
—
109497102
—
TX
Enumeration date
07/17/2006
Last updated
06/27/2008
Update your record
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