Organization
GASTROENTEROLOGY DIAGNOSTIC CLINIC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE S HADDAD MD (OWNER/PHYSICIAN)
(281) 998-2488
Entity
Organization
Contact information
Practice address
5050 CRENSHAW RD, #200, PASADENA, TX 77505-3139
(281) 998-2488
(281) 998-2482
Mailing address
5050 CRENSHAW RD, #200, PASADENA, TX 77505-3139
(281) 998-2488
(281) 998-2482
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094050401
—
TX
Enumeration date
10/21/2005
Last updated
10/15/2012
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