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Organization

GASTROENTEROLOGY ASSOCIATES OF NORTH TEXAS, LLP

Active
Other names
GANT
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM NELSON BARHAM (OFFICE MANAGER)
(817) 870-7300
Entity
Organization

Contact information

Practice address
900 W MAGNOLIA AVE STE 100, FORT WORTH, TX 76104-8518
(817) 870-7300
(817) 332-8372
Mailing address
900 W MAGNOLIA AVE STE 100, SUITE 100, FORT WORTH, TX 76104-8518
(817) 870-7300
(817) 332-8372

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085307902
TX
Enumeration date
07/16/2006
Last updated
09/22/2015
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