Organization
GASTROENTEROLOGY AND ENDOSCOPY ASSOCIATES OF FORT WORTH, P.A.
Active
Organization
GASTROENTEROLOGY AND ENDOSCOPY ASSOCIATES OF FORT WORTH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATARAJ G. KASAL MD (PRESIDENT)
(817) 926-9087
Entity
Organization
Contact information
Practice address
6300 RIDGLEA PL STE 1103, FORT WORTH, TX 76116-5737
(817) 926-9087
(817) 924-1268
Mailing address
6300 RIDGLEA PL STE 1103, FORT WORTH, TX 76116-5737
(817) 926-9087
(817) 924-1268
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E5808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0856858-01
—
TX
01
—
4037687
AETNA PROV ID #
TX
01
—
CD3144
MEDICARE RAILROAD
TX
Enumeration date
08/20/2006
Last updated
02/08/2013
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