Organization
DIGESTIVE SPECIALISTS OF NORTH HARRIS COUNTY PA
Active
Other names
Digestive Specialists, PA
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ WILCOX (BILLING SUPERVISOR)
(936) 321-0033
Entity
Organization
Contact information
Practice address
111 VISION PARK BLVD, SUITE 150, SHENANDOAH, TX 77384-3002
(936) 321-0033
(936) 321-0032
Mailing address
PO BOX 130894, THE WOODLANDS, TX 77393-0894
(936) 321-0033
(936) 321-0032
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057EB
BLUE CROSS
TX
05
—
158069801
—
TX
05
—
158215701
—
TX
01
—
CI6786
RAIL ROAD MEDICARE
TX
Enumeration date
07/27/2005
Last updated
07/10/2008
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