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Organization

LONE STAR GASTROENTEROLOGY OF ABILENE, PLLC

Active
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Organization

LONE STAR GASTROENTEROLOGY OF ABILENE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVEK REDDY GARLAPATI M.D. (SOLE MANAGING MEMBER/OWNER)
(586) 864-0209
Entity
Organization

Contact information

Practice address
1904 PINE ST STE 1B, ABILENE, TX 79601
(325) 704-5055
(325) 704-5056
Mailing address
PO BOX 6815, ABILENE, TX 79608-6815
(325) 704-5055
(325) 704-5056

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P8475
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
343750101
TX
Enumeration date
11/12/2014
Last updated
07/04/2018
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