Organization
DIGESTIVE SPECIALISTS OF NORTH HARRIS COUNTY PA
Active
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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