Organization Active NPI

Specialists in Advanced Gastroenterology and Endoscopy, PLLC

  • Gastroenterology Physician
  • Dallas, TX
National Provider Identifier
1205229374
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SPECIALISTS IN ADVANCED GASTROENTEROLOGY AND ENDOSCOPY, PLLC
Practice address
8267 Elmbrook Dr Ste 200
Dallas, TX 75247-4078
Phone
(512) 485-5889
Fax
(512) 420-0397
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Linda White
Title
Medical Staff Coordinator
Phone
(512) 485-5889

Specialties & licenses 1

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

Addresses

Primary practice location

8267 Elmbrook Dr Ste 200
Dallas, TX 75247-4078

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 485-5889

National Provider Directory

National Provider Directory

Locations

4310 James Casey St
Ste 4A
Austin, TX 78745
Phone (512) 532-8000

3600 Gaston Ave
Ste 809
Dallas, TX 75246
Phone (214) 818-0948

7777 Forest Ln
Ste C828
Dallas, TX 75230
Phone (214) 496-1100

6445 Harris Pkwy
Ste 150
Fort Worth, TX 76132
Phone (817) 361-6900

5236 W University Dr
Ste 3300
McKinney, TX 75071
Phone (972) 432-7958

4112 Links Ln
Ste 202
Round Rock, TX 78664

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000

Practitioners & affiliated clinicians

Practitioners 1

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": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1205229374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-485-5889",
            "fax_number": "512-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8267 ELMBROOK DR STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474078",
            "telephone_number": "512-485-5889",
            "fax_number": "512-420-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS IN ADVANCED GASTROENTEROLOGY AND ENDOSCOPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "512-485-5889"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.