| Memorial Gastroenterology Associates Pa | |
|
902 Frostwood Dr Suite 168 Houston TX 77024-2420 | |
| (713) 973-2300 | |
| (713) 973-2304 |
| Full Name | Memorial Gastroenterology Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 902 Frostwood Dr, Houston, Texas |
| Authorized Official Name and Position | Jaspaul Singh Azad (OWNER) |
| Authorized Official Contact | 7139732300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Gastroenterology Associates Pa 902 Frostwood Dr Suite 168 Houston TX 77024-2420 Ph: (713) 973-2300 | Memorial Gastroenterology Associates Pa 902 Frostwood Dr Suite 168 Houston TX 77024-2420 Ph: (713) 973-2300 |
| NPI Number | 1740480763 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 0446347470 |
|---|---|
| Medicare Enrollment ID | O20071107000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740480763 | NPI | - | NPPES |
| I37627 | Other | TX | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Texas) | Primary |
| Provider Name | Jaspaul Singh Azad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972719862 PECOS PAC ID: 6901836790 Enrollment ID: I20050822000658 |
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