Organization
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KAY LOWERY (CREDENTIALING MANAGER)
(469) 930-3077
Entity
Organization
Contact information
Practice address
505 S NOLEN DR, STE A, SOUTHLAKE, TX 76092-9167
(817) 424-1525
(817) 424-3491
Mailing address
950 E STATE HIGHWAY 114 STE 200, SOUTHLAKE, TX 76092-5261
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081585402
—
TX
Enumeration date
12/22/2005
Last updated
04/21/2026
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