| Gastroenterology Center, Pa | |
|
12001 South Fwy Ste 305 Burleson TX 76028-7208 | |
| (817) 551-6161 | |
| (817) 551-6177 |
| Full Name | Gastroenterology Center, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 12001 South Fwy, Burleson, Texas |
| Authorized Official Name and Position | Hani Bismar (CONSULTANT) |
| Authorized Official Contact | 8175516161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Center, Pa Po Box 16957 Fort Worth TX 76162 Ph: (817) 551-6161 | Gastroenterology Center, Pa 12001 South Fwy Ste 305 Burleson TX 76028-7208 Ph: (817) 551-6161 |
| NPI Number | 1568432565 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568432565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | L0986 (Texas) | Primary |
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