MEDICARE: PHYSICIANS ENDOSCOPY CENTER, LTD., LLP

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	261QE0800X	Endoscopy Clinic/Center	007904	TX

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

General Provider Information

NPI Number	:	1902815749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS ENDOSCOPY CENTER, LTD., LLP

Provider Business Mailing Address
First Line	:	3030 S GESSNER RD
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77063-3765
Country	:	US
Telephone Number	:	713-587-0909
Fax Number	:	713-587-0912

Provider Business Practice Location Address
First Line	:	3030 S GESSNER RD
Second Line	:	SUITE 150
City	:	HOUSTON
State	:	TX
Zip	:	77063-3765
Country	:	US
Telephone Number	:	713-587-0909
Fax Number	:	713-587-0912

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. NANCY HAN LE
Credential	:	MHA
Telephone Number	:	713-587-0909

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	05/01/2008

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Directions to “PHYSICIANS ENDOSCOPY CENTER, LTD., LLP ” Practice Location

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