Organization
NORTH TEXAS TRIANGLE GASTROENTEROLOGY GROUP LTD LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANG QUAN MD (PRESIDENT OF THE GENERAL PARTNER)
(214) 399-6691
Entity
Organization
Contact information
Practice address
2900 N INTERSTATE 35 STE 101, DENTON, TX 76201-5142
(214) 394-6691
(940) 898-8247
Mailing address
2900 N INTERSTATE 35 STE 101, DENTON, TX 76201-5142
(214) 394-6691
(940) 898-8247
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
L4662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151200603
—
TX
Enumeration date
06/30/2008
Last updated
06/30/2008
Update your record
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