Organization
GASTROENTEROLOGY OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TIMOTHY CLARK MD (PHYSICIAN OWNER)
(832) 510-5711
Entity
Organization
Contact information
Practice address
2510 S LOOP 336 W, STE 336, CONROE, TX 77304
(713) 955-2889
(254) 780-0332
Mailing address
6606 FM 1488 RD STE 148-368, MAGNOLIA, TX 77354-2544
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
10/02/2020
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