Organization
BAY AREA GASTROENTEROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI S MANI M.D. (PRESIDENT)
(281) 404-0360
Entity
Organization
Contact information
Practice address
1015 MEDICAL CENTER BLVD, SUITE 1700, WEBSTER, TX 77598-4011
(281) 404-0360
(281) 480-4046
Mailing address
1015 MEDICAL CENTER BLVD, SUITE 1700, WEBSTER, TX 77598-4011
(281) 404-0360
(281) 480-4046
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H0110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00784N
BCBS
TX
01
—
10005940
AMERIGROUP MCARE MCAID
TX
Enumeration date
11/17/2006
Last updated
03/17/2008
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