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NPI Code Detail

MEDICARE: GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC

MEDICARE: GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC
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
1207L00000XAnesthesiology Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician
3208600000XSurgery Physician
4208C00000XColon & Rectal Surgery Physician
5207RG0100XGastroenterology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821127002
Entity Type Code : Organization
Provider Name (Legal Business Name) : GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC
Provider Business Mailing Address
First Line : 512 VICTORIA LN
Second Line : SUITE 2
City : HARLINGEN
State : TX
Zip : 78550-3226
Country : US
Telephone Number : 956-365-4400
Fax Number :
Provider Business Practice Location Address
First Line : 512 VICTORIA LN STE 2
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-3227
Country : US
Telephone Number : 956-365-4400
Fax Number : 956-365-4111
Authorized Official
Title or Position : PRESIDENT
Name : DR. NOLAN E PEREZ
Credential : MD
Telephone Number : 956-365-4400
Provider Enumeration Date : 03/05/2007
Last Update Date : 09/06/2023

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Directions to “GASTROENTEROLOGY CONSULTANTS OF SOUTH TEXAS, PLLC ” Practice Location

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