| Bay Area Houston Gastroenterology Associates | |
|
1015 Medical Center Blvd Suite 1400 Webster TX 77598-4052 | |
| (281) 338-2861 | |
| (281) 554-2035 |
| Full Name | Bay Area Houston Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 Medical Center Blvd, Webster, Texas |
| Authorized Official Name and Position | Stephen C Marcum (PRESIDENT) |
| Authorized Official Contact | 2813382861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Houston Gastroenterology Associates 1015 Medical Center Blvd Suite 1400 Webster TX 77598-4052 Ph: (281) 338-2861 | Bay Area Houston Gastroenterology Associates 1015 Medical Center Blvd Suite 1400 Webster TX 77598-4052 Ph: (281) 338-2861 |
| NPI Number | 1497970867 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 8426088287 |
|---|---|
| Medicare Enrollment ID | O20050822000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497970867 | NPI | - | NPPES |
| 180767901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Richard M Warneke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053367722 PECOS PAC ID: 0547253353 Enrollment ID: I20040407000398 |
| Provider Name | Stephen Craig Marcum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730217928 PECOS PAC ID: 1557331022 Enrollment ID: I20050822000636 |
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