| Tomball Gastroenterology Associates P.a | |
|
425 Holderrieth Blvd Ste 114 Tomball TX 77375-5189 | |
| (281) 205-7522 | |
| (281) 205-7553 |
| Full Name | Tomball Gastroenterology Associates P.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 Holderrieth Blvd Ste 114, Tomball, Texas |
| Authorized Official Name and Position | Maninder Singh Guram (OWNER) |
| Authorized Official Contact | 2815460181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tomball Gastroenterology Associates P.a 425 Holderrieth Blvd Ste 114 Tomball TX 77375-5189 Ph: (281) 205-7522 | Tomball Gastroenterology Associates P.a 425 Holderrieth Blvd Ste 114 Tomball TX 77375-5189 Ph: (281) 205-7522 |
| NPI Number | 1154973881 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 06/09/2025 |
| Medicare PECOS PAC ID | 3072947464 |
|---|---|
| Medicare Enrollment ID | O20191217002534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154973881 | NPI | - | NPPES |
| 890982 | Other | MEDICARE | |
| 4224313 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Maninder S Guram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689671307 PECOS PAC ID: 1456343524 Enrollment ID: I20110429000024 |
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