NPIMap

Organization Active NPI

Texas Gastrointestinal Associates PA

  • Gastroenterology Physician
  • Mesquite, TX
National Provider Identifier
1114944840
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TEXAS GASTROINTESTINAL ASSOCIATES PA
Practice address
2694 N Galloway Ave
Ste 501
Mesquite, TX 75150
Phone
(972) 681-2226
Fax
(972) 681-7838
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fayez G Self, MD
Title
Physican Partner
Phone
(972) 681-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2694 N Galloway Ave
Ste 501
Mesquite, TX 75150

Mailing address

2694 N Galloway Ave
Ste 501
Mesquite, TX 75150
Phone (972) 681-2226

Other identifiers 2

IdentifierTypeStateIssuer
109497101MedicaidTX
109497102MedicaidTX

National Provider Directory

National Provider Directory

Practitioners 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1114944840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 N GALLOWAY AVE",
            "address_2": "STE 501",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-681-2226",
            "fax_number": "972-681-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2694 N GALLOWAY AVE",
            "address_2": "STE 501",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-681-2226",
            "fax_number": "972-681-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GASTROINTESTINAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAN PARTNER",
        "authorized_official_telephone_number": "972-681-2226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109497101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109497102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.