Organization
LONE STAR GASTROENTEROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOWRI BALACHANDAR MD (PRESIDENT)
(972) 867-7070
Entity
Organization
Contact information
Practice address
4101 W SPRING CREEK PKWY, SUITE 400, PLANO, TX 75024-5307
(972) 867-7070
(972) 867-7878
Mailing address
4101 W SPRING CREEK PKWY, SUITE 400, PLANO, TX 75024-5307
(972) 867-7070
(972) 867-7878
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K4363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158049001
—
TX
Enumeration date
02/20/2007
Last updated
03/26/2014
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