MEDICARE: HOUSTON ENDOSCOPY AND RESEARCH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0800X	Endoscopy Clinic/Center
2	261QR1100X	Research Clinic/Center

General Provider Information

NPI Number	:	1669674552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON ENDOSCOPY AND RESEARCH CENTER

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR STE 330
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2306
Country	:	US
Telephone Number	:	713-932-6446
Fax Number	:	713-932-6466

Provider Business Practice Location Address
First Line	:	909 FROSTWOOD DR STE 330
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2306
Country	:	US
Telephone Number	:	713-932-6446
Fax Number	:	713-932-6466

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIKRAM SATYA JAYANTY
Credential	:	M.D.
Telephone Number	:	713-932-6446

Provider Enumeration Date	:	06/03/2007
Last Update Date	:	09/11/2025

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