| Gastrodoxs PLLC | |
|
10425 Huffmeister Rd Ste 280 Houston TX 77065-3430 | |
| (832) 632-4070 | |
| (832) 688-9496 |
| Full Name | Gastrodoxs PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10425 Huffmeister Rd Ste 280, Houston, Texas |
| Authorized Official Name and Position | Bharat Pothuri (OWNER) |
| Authorized Official Contact | 8326324070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrodoxs PLLC 10425 Huffmeister Rd Ste 280 Houston TX 77065-3430 Ph: (832) 632-4070 | Gastrodoxs PLLC 10425 Huffmeister Rd Ste 280 Houston TX 77065-3430 Ph: (832) 632-4070 |
| NPI Number | 1811160773 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5294902367 |
|---|---|
| Medicare Enrollment ID | O20120113000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811160773 | NPI | - | NPPES |
| 290541601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Bharat Pothuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023187614 PECOS PAC ID: 5496726499 Enrollment ID: I20040803001557 |
| Provider Name | Hua Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912254830 PECOS PAC ID: 9234370180 Enrollment ID: I20130719000085 |
| Provider Name | Khanh Vu Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487253761 PECOS PAC ID: 4688084023 Enrollment ID: I20201113001049 |
| Provider Name | Tyneza Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417342908 PECOS PAC ID: 6800187337 Enrollment ID: I20201230000796 |
| Provider Name | Kimberly Denise Jay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174118020 PECOS PAC ID: 8022426865 Enrollment ID: I20210416000469 |
| Provider Name | Tracy Lynn Delossantos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710691043 PECOS PAC ID: 3577929702 Enrollment ID: I20230515000563 |
| Provider Name | Nga P Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245994532 PECOS PAC ID: 3870941834 Enrollment ID: I20231130003933 |
| Provider Name | Lisa Z Dhuka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881466951 PECOS PAC ID: 3577912161 Enrollment ID: I20231207002719 |
| Provider Name | Raysha Monel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154102838 PECOS PAC ID: 4183063985 Enrollment ID: I20240412001503 |
| Provider Name | Daniel Y Zhang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265295000 PECOS PAC ID: 4385086875 Enrollment ID: I20240529003796 |
| Provider Name | Kristen Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861175655 PECOS PAC ID: 7517408230 Enrollment ID: I20240923000345 |
| Provider Name | Anclaudia Thien Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740905090 PECOS PAC ID: 9436677895 Enrollment ID: I20250519003421 |
| Provider Name | Claire Kejing Zou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609595628 PECOS PAC ID: 2860983582 Enrollment ID: I20251111001489 |
| Provider Name | Scott Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598810327 PECOS PAC ID: 2668768375 Enrollment ID: I20251218003955 |
| Provider Name | Albert Yao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306620620 PECOS PAC ID: 0941780373 Enrollment ID: I20260216001832 |
| Provider Name | Rishi Chadha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114487485 PECOS PAC ID: 7113301862 Enrollment ID: I20260306002979 |
| Provider Name | Olubusayo Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679123103 PECOS PAC ID: 8628544905 Enrollment ID: I20260415000056 |
| Provider Name | Voria Natosha Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396601241 PECOS PAC ID: 0244706372 Enrollment ID: I20260416002541 |
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