Organization
DIGESTIVE DISEASE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAWRENCE STEWART (PRESIDENT)
(903) 785-0025
Entity
Organization
Contact information
Practice address
2870 LEWIS LN STE 230, PARIS, TX 75460-9380
(903) 785-0025
(903) 784-4140
Mailing address
2870 LEWIS LN STE 230, PARIS, TX 75460-9380
(903) 785-0025
(903) 784-4140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F5053
TX
174400000X
Specialist
J2552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112850602
—
TX
01
—
CP3177
MEDICARE RAILROAD
—
Enumeration date
03/19/2007
Last updated
12/06/2007
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