Organization
ATHENS GASTROENTEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A TAKATA MD (PRESIDENT CEO)
(903) 677-3737
Entity
Organization
Contact information
Practice address
901 S PALESTINE, ATHENS, TX 75751
(903) 677-3737
(903) 677-6014
Mailing address
901 S PALESTINE, ATHENS, TX 75751
(903) 677-3737
(903) 677-6014
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K7400
TX
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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