Organization
COLON LIVER GASTRO CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEKA GAJULA MD (PRESIDENT)
(832) 667-7355
Entity
Organization
Contact information
Practice address
16651 SOUTHWEST FWY, SUITE 370, SUGAR LAND, TX 77479-2345
(832) 667-7355
(281) 565-2009
Mailing address
PO BOX 711115, HOUSTON, TX 77271-1115
(832) 667-7355
(281) 565-2009
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168610701
—
TX
Enumeration date
07/28/2005
Last updated
01/04/2024
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