| Gastromedconnect, Pllc | |
|
115 Kohlers Crossing Ste 455 Kyle TX 78640-2464 | |
| (512) 454-5911 | |
| Not Available |
| Full Name | Gastromedconnect, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 Kohlers Crossing Ste 455, Kyle, Texas |
| Authorized Official Name and Position | Sami Adib (MD/OWNER) |
| Authorized Official Contact | 5124545911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastromedconnect, Pllc 115 Kohlers Crossing Ste 455 Kyle TX 78640 Ph: () - | Gastromedconnect, Pllc 115 Kohlers Crossing Ste 455 Kyle TX 78640-2464 Ph: (512) 454-5911 |
| NPI Number | 1639852189 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 7214391127 |
|---|---|
| Medicare Enrollment ID | O20230911004072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639852189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sami N Adib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548502412 PECOS PAC ID: 1456755743 Enrollment ID: I20210809002706 |
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