Organization
ADVANCED GASTROENTEROLOGY OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARBOD MASROUR DO (OWNER)
(214) 320-7680
Entity
Organization
Contact information
Practice address
2698 NORTH GALLOWAY, SUITE 103, MESQUITE, TX 75150
(214) 962-4863
(214) 758-1400
Mailing address
PO BOX 801344, DALLAS, TX 75380-1344
(214) 962-4863
(214) 758-1400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N9262
TX
Other
Enumeration date
07/27/2015
Last updated
11/05/2015
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