Gastroenterology of Texas, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY OF TEXAS, PLLC

Practice address

2510 S Loop 336 W
Ste 336
Conroe, TX 77304

Phone

(713) 955-2889

Fax

(254) 780-0332

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Timothy Clark, MD

Title

Physician Owner

Phone

(832) 510-5711

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Junuk Kim, MD

  • Surgery Physician
  • Shenandoah, TX
  • NPI 1497917553
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1154945111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 FM 1488 RD STE 148-368",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S LOOP 336 W",
            "address_2": "STE 336",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "713-955-2889",
            "fax_number": "254-780-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Vision Park Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843024",
            "country_code": "US",
            "telephone_number": "713-955-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "832-510-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Garza-Chaves
• Carlos G Garza, DDS
• Gabriel Garza
• Brianna Marie Gaspar
• Sandra Leora Gaston, LMFT
• Steven Leon Gates, D.O.
• Gordon Alexander Gatlin
• Matthew Ryan Gaudern
• Dhruv Gaur
• Vikram S Gavande, M.D.

• Gastroenterology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.