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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