Organization
GI ASSOCIATES OF LEWISVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (AUTHORIZED OFFICIAL)
(972) 401-8720
Entity
Organization
Contact information
Practice address
475 ELM ST, SUITE 203, LEWISVILLE, TX 75057-3762
(214) 222-3571
(214) 222-3601
Mailing address
475 ELM ST, SUITE 203, LEWISVILLE, TX 75057-3762
(214) 222-3571
(214) 222-3601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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