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Organization

DIGESTIVE DISEASE CONSULTANTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STARR LEE WALLACE LVN (LVN OFFICE MANAGER)
(281) 446-8114
Entity
Organization

Contact information

Practice address
9816 MEMORIAL BLVD, #206, HUMBLE, TX 77338
(281) 446-8114
(281) 446-1158
Mailing address
9816 MEMORIAL BLVD, #206, HUMBLE, TX 77338
(281) 446-8114
(281) 446-1158

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081671201
TX
Enumeration date
10/27/2006
Last updated
07/09/2008
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