Organization
DIGESTIVE DISEASE CONSULTANTS PA
Active
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
Update your record
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