Organization
DIGESTIVE & LIVER CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOIN MEAH (MANAGER)
(979) 292-0033
Entity
Organization
Contact information
Practice address
109 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 292-0033
(979) 292-0488
Mailing address
109 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 292-0033
(979) 292-0488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J5833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143731101
—
TX
Enumeration date
09/07/2005
Last updated
06/06/2022
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