Healthcare Provider Details

I. General information

NPI: 1760306971
Provider Name (Legal Business Name): GREATER HOUSTON DIGESTIVE DISEASE CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25329 BUDDE RD STE 103
SPRING TX
77380-1697
US

IV. Provider business mailing address

134 VISION PARK BLVD STE 280
SHENANDOAH TX
77384-3032
US

V. Phone/Fax

Practice location:
  • Phone: 832-713-6119
  • Fax: 281-809-6917
Mailing address:
  • Phone: 281-205-1111
  • Fax: 281-419-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SERGE-ALAIN AWASUM
Title or Position: CEO
Credential: MD
Phone: 281-205-1111