Organization
GASTROENTEROLOGY ASSOCIATES OF NORTH TEXAS
Active
Other names
GANT Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINGER GARDNER (BUSINESS OFFICE)
(817) 926-0269
Entity
Organization
Contact information
Practice address
900 W MAGNOLIA AVE, STE 110, FORT WORTH, TX 76104-8517
(817) 870-7300
(817) 332-8372
Mailing address
6445 HARRIS PKWY, STE. 100, FORT WORTH, TX 76132-4138
(817) 361-6900
(817) 263-5849
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D0860848
CLIA
TX
Enumeration date
04/23/2010
Last updated
04/23/2010
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