Texas Gi Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

007938 Issued in TX

Legal business name

TEXAS GI ENDOSCOPY CENTER

Practice address

2704 N Galloway
Ste 102
Mesquite, TX 75150

Phone

(972) 270-3590

Fax

(972) 270-3572

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fayez G Self, MD

Title

Managing Partner Medical Director

Phone

(972) 270-3590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396762027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N GALLOWAY",
            "address_2": "STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-270-3590",
            "fax_number": "972-270-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N GALLOWAY",
            "address_2": "STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-270-3590",
            "fax_number": "972-270-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GI ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-270-3590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TX",
            "license": "007938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Em-1 Medical Services, PA
• Texas Family Practice Associates PA
• Texas First Home Health Care Inc.
• Texas First Housecall Associates Inc
• Texas Gastrointestinal Associates PA
• Texas Hand Rehabilitation (Texas Hand Rehabilitation and Occupational Therapy)
• Texas Hospice and Homehealth Limited Liability Company
• Texas Hospice LLC
• Texas Infusion Group PLLC
• Texas Medical Lab LLC

• Endoscopy Clinic/Center in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Endoscopy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.