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Organization

GULF COAST GASTROENTEROLOGY LAB

Active
Parent organization
GULF COAST GASTROENTEROLOGY, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GULF COAST GASTROENTEROLOGY, PLLC
Authorized official
DR. WILLIAM HUDSON SWEATT MD (PRESIDENT)
(979) 297-4033
Entity
Organization

Contact information

Practice address
219 OAK DRIVE SOUTH, SUITE A, LAKE JACKSON, TX 77566
(979) 297-4033
(979) 297-0099
Mailing address
219 OAK DRIVE SOUTH, SUITE A, LAKE JACKSON, TX 77566
(979) 297-4033
(979) 297-0099

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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