Organization
NORTH TEXAS GASTROENTEROLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMJAD NAEEM AWAN M.D. (DOCTOR)
(940) 898-7488
Entity
Organization
Contact information
Practice address
3304 COLORADO BLVD STE 205, DENTON, TX 76210-6877
(940) 898-7488
(940) 243-3554
Mailing address
106 N DENTON TAP RD # 210-352, COPPELL, TX 75019-2138
(940) 898-7488
(940) 243-3554
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K9017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073578753
PERSONAL NPI
TX
05
—
141655402
—
TX
05
—
141655403
—
TX
05
—
141655404
—
TX
05
—
141655405
—
TX
05
—
219119901
—
TX
01
—
8G0100
BC/BS
TX
01
—
DH1825
RAIL ROAD MEDICARE
TX
Enumeration date
09/12/2007
Last updated
04/04/2014
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