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NPI Code Detail

MEDICARE: TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP

MEDICARE: TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP
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
1261QA1903XAmbulatory Surgical Clinic/Center008100TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00188004OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2HH043AOTHERTXBLUE CROSS/BLUESHIELD

General Provider Information

NPI Number : 1215930276
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP
Provider Business Mailing Address
First Line : 6620 MAIN ST
Second Line : STE 1500
City : HOUSTON
State : TX
Zip : 77030-2331
Country : US
Telephone Number : 713-520-8432
Fax Number : 713-600-7300
Provider Business Practice Location Address
First Line : 6620 MAIN ST
Second Line : STE 1500
City : HOUSTON
State : TX
Zip : 77030-2331
Country : US
Telephone Number : 713-520-8432
Fax Number : 713-600-7300
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH GALATI
Credential : M.D.
Telephone Number : 713-794-0700
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/14/2007

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Directions to “TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP ” Practice Location

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