NPIMap

Texas Digestive Disease Consultants, PLLC

Organization Active NPI Gastroenterology Physician · Irving, TX

NPI 1053397331 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1053397331
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
Practice address
701 Tuscan Dr
Ste 110
Irving, TX 75039-4133
Phone
(214) 496-1100
Fax
(214) 402-8645
NPI assigned
Dec 19, 2005
Organization subpart
No

Authorized official

Name
Kristina Kay Lowery
Title
Credentialing Manager
Phone
(317) 919-9025

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 831

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 831

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0682187Texas Digestive Disease Consultants
701 Tuscan Drive # 110, Irving, TX 75039		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040505001844 TX Part B Supplier - Clinic/Group Practice 3375531379 Receives reassigned benefits from 703 practitioners
4 other NPIs on this enrollment

National Provider Directory

Locations (25 of 111)

3700 SE Dodson Rd
Bentonville, AR 72712

455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799

4224 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 456-8020

115 Kildaire Park Dr
Ste 201
Cary, NC 27518
Phone (919) 816-4948

1105 Central Expy N
Ste 275
Allen, TX 75013

1001 N Waldrop Dr
Ste 514
Arlington, TX 76012

515 W Mayfield Rd
Ste 250
Arlington, TX 76014
Phone (682) 217-2102

3150 Matlock Rd
Ste 409
Arlington, TX 76015
Phone (214) 630-4320

12221 Renfert Way
Ste 345A
Austin, TX 78758

7011 Ribelin Ranch Rd
Austin, TX 78750

11645 Angus Rd
Ste 4A
Austin, TX 78759

11645 Angus Rd
Ste A4
Austin, TX 78759
Phone (512) 719-4545

11521 N FM 620 Rd
Ste 800
Austin, TX 78726

950 N 11th St
#100
Beaumont, TX 77702
Phone (409) 833-5959

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

1048 E Blanco Rd
Boerne, TX 78006
Phone (830) 249-3241

134 Menger Spgs
Ste 1350
Boerne, TX 78006

4325 N Josey Ln
Ste 210
Carrollton, TX 75010
Phone (463) 316-3216

801 W Whitestone Blvd
Ste 201
Cedar Park, TX 78613

801 E Whitestone Blvd
Ste 201
Cedar Park, TX 78613
Phone 5123410900 ext. 21442

500 Medical Center Blvd
Ste 240
Conroe, TX 77304
Phone (936) 224-4134

4015 Interstate 45 N
Ste 2102
Conroe, TX 77304

24518 Northwest Fwy
Ste 455
Cypress, TX 77429

24518 Northwest Fwy
Ste 445
Cypress, TX 77429
Phone (404) 909-5591

8220 Walnut Hill Ln
Ste 701
Dallas, TX 75231

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

701 Tuscan Dr
Ste 110
Irving, TX 75039-4133

Mailing address

950 E State Highway 114 Ste 200
Southlake, TX 76092-5261
Phone (214) 424-2200

Other identifiers

IdentifierTypeStateIssuer
081585401MedicaidTX
00A85WOtherTXBCBS GRP

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address giasouthcentral@directaddress.net Direct

Other providers in Irving, TX

All providers in Irving, TX · Gastroenterology Physician in Texas

Sources for this page

Verify at the official NPI Registry.