Prime Gastroenterology, PLLC
Specialist in Houston, TX. Organization (NPI-2).
NPI number1982139267
StatusActive
Last updated in NPPESApr 25, 2017
Details
- NPI
- 1982139267
- Entity type
- Organization (NPI-2)
- Legal business name
- Prime Gastroenterology, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2017
- Last updated
- Apr 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | H5690 | TX | Yes |
Practice location
7737 Southwest MedicalSuite 950
Houston, TX 77074
Phone 713-384-1913
Mailing address
7737 Southwest MedicalSuite 950
Houston, TX 77074
Phone 713-384-1913
Authorized official
Daniel Wester Ball
President
7139064730
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