Organization
NORTH TEXAS GASTROENTEROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYA M DASARI MD (GASTROENTEROLOGY)
(409) 338-5657
Entity
Organization
Contact information
Practice address
3304 COLORADO BLVD STE 205, DENTON, TX 76210-6877
(940) 898-7488
(940) 243-3554
Mailing address
3304 COLORADO BLVD STE 205, DENTON, TX 76210-6877
(940) 898-7488
(940) 243-3554
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N1604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363459401
—
TX
Enumeration date
12/01/2014
Last updated
09/02/2017
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