Organization
PEDIATRIC GASTROENTEROLOGY CONSULANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR ALASWAD MD (PRESIDENT)
(409) 813-3883
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 120, BEAUMONT, TX 77701-4670
(409) 813-3883
(409) 813-3848
Mailing address
PO BOX 2183, STAFFORD, TX 77497-2183
(409) 813-3883
(409) 813-3848
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
K0597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179187301
—
TX
Enumeration date
06/14/2006
Last updated
01/26/2009
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