Organization
TEXAS MODERN GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN SAMI EBRAHIM MD (PHYSICIAN OWNER/PHYSICIAN)
(214) 729-0111
Entity
Organization
Contact information
Practice address
1216 CHURCH ST, SULPHUR SPRINGS, TX 75482-2108
(903) 588-2222
(903) 588-2225
Mailing address
1216 CHURCH ST, SULPHUR SPRINGS, TX 75482-2108
(903) 588-2222
(903) 588-2225
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/23/2024
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