| Texas Digestive Disease Consultants Pllc | |
|
130 Highland Pkwy Picayune MS 39466-5574 | |
| (985) 871-1721 | |
| Not Available |
| Full Name | Texas Digestive Disease Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Highland Pkwy, Picayune, Mississippi |
| Authorized Official Name and Position | Kristina Kay Lowery (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3179199025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Digestive Disease Consultants Pllc Po Box 206239 Dallas TX 75320-6239 Ph: () - | Texas Digestive Disease Consultants Pllc 130 Highland Pkwy Picayune MS 39466-5574 Ph: (985) 871-1721 |
| NPI Number | 1962215129 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Medicare PECOS PAC ID | 3375531379 |
|---|---|
| Medicare Enrollment ID | O20250304001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962215129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Anthony F Albright |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053373316 PECOS PAC ID: 0143115030 Enrollment ID: I20101209000676 |
| Provider Name | Mark J Nicaud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598927667 PECOS PAC ID: 7214115211 Enrollment ID: I20180507000673 |
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