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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