Organization
GREATER HOUSTON DIGESTIVE DISEASE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNEMARIE AWASUM RN (ADMINISTRATOR)
(281) 323-3162
Entity
Organization
Contact information
Practice address
134 VISION PARK BLVD STE 280, SHENANDOAH, TX 77384-3032
(281) 205-1111
(281) 419-2111
Mailing address
134 VISION PARK BLVD STE 280, SHENANDOAH, TX 77384-3032
(281) 205-1111
(281) 419-2111
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M2544
TX
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2821480
—
TX
05
—
2821480-02
—
TX
Enumeration date
08/12/2010
Last updated
06/25/2024
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