is a Gastroenterology in Bryan, Texas. practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for is 1366553380. The last update date is .
's current location address is 2206 E Villa Maria Rd, Bryan, Texas. You can contact this provider via phone number 9797764600 and fax number 9797740877. The mailing address for is 2206 E Villa Maria Rd, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2206 E Villa Maria Rd, Bryan, Texas |
| Phone Number | 9797764600 |
| Fax Number | 9797740877 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366553380 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2206 E Villa Maria Rd |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 778022547 |
| Phone Number | 9797764600 |
| Fax Number | 9797740877 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | J0861 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47977601 | TX | -- |
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