NPI 1104904077

Gulf Coast Gastroenterology, PA

Organisation Gastroenterology Physician Lake Jackson, TX

Practice location

Address: 219 Oak Dr S STE a, Lake Jackson, TX 77566-5675
Phone: (979) 297-4033
Fax: (979) 297-4099
Mailing address: 104 Circle Way St STE B, Lake Jackson, TX 77566-5200

Authorised official

Name: Britiany Bush
Title: Office Manager
Phone: (979) 297-4033

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Other Internal Medicine providers in Texas →

Registry record

NPI: 1104904077
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 18 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.