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1689650475

NPI Code Detail

MEDICARE: TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC

MEDICARE: TEXAS DIGESTIVE DISEASE CONSULTANTS, 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
1	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00N91F	OTHER	TX	BCBS GRP
3	00A85W	OTHER	TX	BCBS GRP

General Provider Information

NPI Number	:	1689650475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC

Provider Business Mailing Address
First Line	:	950 E STATE HIGHWAY 114 STE 200
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-5261
Country	:	US
Telephone Number	:	214-424-2200
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	4370 MEDICAL ARTS DR STE 295
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1742
Country	:	US
Telephone Number	:	972-691-3777
Fax Number	:	972-691-3666

Authorized Official
Title or Position	:	CEO
Name	:	JAMES WEBER
Credential	:
Telephone Number	:	214-424-2200

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	04/21/2026

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Directions to “TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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