Healthcare Provider Details
I. General information
NPI: 1326587643
Provider Name (Legal Business Name): HOUSTON REGIONAL GASTROENTEROLOGY INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2017
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15555 CREEK BEND DR STE 200
SUGAR LAND TX
77478-4670
US
IV. Provider business mailing address
15555 CREEK BEND DR STE 200
SUGAR LAND TX
77478-4670
US
V. Phone/Fax
- Phone: 832-707-5011
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | P9555 |
| License Number State | TX |
VIII. Authorized Official
Name:
ADEEB
DWAIRY
Title or Position: MEMBER
Credential: M.D.
Phone: 281-731-0619