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NPI Code Detail

MEDICARE: HOUSTON PEDIATRIC GASTROENTEROLOGY, PLLC

MEDICARE: HOUSTON PEDIATRIC GASTROENTEROLOGY, 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
12080P0206XPediatric Gastroenterology Physician

General Provider Information

NPI Number : 1629836697
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON PEDIATRIC GASTROENTEROLOGY, PLLC
Provider Business Mailing Address
First Line : 2700 CULLEN BLVD UNIT 842247
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1989
Country : US
Telephone Number : 832-285-2938
Fax Number :
Provider Business Practice Location Address
First Line : 2045 SPACE PARK DR STE 280
Second Line :
City : HOUSTON
State : TX
Zip : 77058-6311
Country : US
Telephone Number : 832-205-8215
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. ASHISH NARAYAN DEBROY
Credential : MD
Telephone Number : 832-285-2938
Provider Enumeration Date : 03/13/2024
Last Update Date : 07/12/2024

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Directions to “HOUSTON PEDIATRIC GASTROENTEROLOGY, PLLC ” Practice Location

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