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General NPI Number Information
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NPI Number | 1154973881
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Entity Type | Organization
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Legal Business Name | TOMBALL GASTROENTEROLOGY ASSOCIATES P.A
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 425 HOLDERRIETH BLVD STE 114
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City | TOMBALL
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State | TX
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Zip | 77375-5189
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Country | US
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Telephone | 281-205-7522
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Fax | 281-205-7553
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Provider Business Mailing Address
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Address Line | 425 HOLDERRIETH BLVD STE 114
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City | TOMBALL
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State | TX
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Zip | 77375-5189
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Country | US
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Telephone | 281-205-7522
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Fax | 281-205-7553
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANINDER SINGH GURAM
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Credential | MD
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Telephone | 281-630-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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