Organization Active NPI

Gastrointestinal & Liver Associates of North Texas P a

  • Gastroenterology Physician
  • Granbury, TX
National Provider Identifier
1174520720
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J2692 Issued in TX
Legal business name
GASTROINTESTINAL & LIVER ASSOCIATES OF NORTH TEXAS P A
Practice address
1314 Paluxy Road
Granbury, TX 76048
Phone
(817) 573-9881
Fax
(817) 573-7516
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Howard Paul Monsour, M.D.
Title
Owner
Phone
(817) 573-9881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X J2692 TX Primary

Addresses

Primary practice location

1314 Paluxy Road
Granbury, TX 76048

Mailing address

1314 Paluxy Road
Granbury, TX 76048
Phone (817) 573-9881

Other identifiers 1

IdentifierTypeStateIssuer
146108901MedicaidTX

National Provider Directory

National Provider Directory

Locations

1314 Paluxy Rd
Granbury, TX 76048
Phone (682) 529-7800

1717 Paluxy Rd
Ste 110
Granbury, TX 76048
Phone (682) 841-7175

6720 Bertner Ave
#1
Houston, TX 77030
Phone (832) 355-8668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1174520720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PALUXY ROAD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-573-9881",
            "fax_number": "817-573-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PALUXY ROAD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-573-9881",
            "fax_number": "817-573-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL & LIVER ASSOCIATES OF NORTH TEXAS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-573-9881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J2692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146108901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.