Texas Gastrodiagnostics, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TEXAS GASTRODIAGNOSTICS, LLC

Practice address

9555 Diana Dr
El Paso, TX 79924-6951

Phone

(915) 529-0020

Fax

(915) 600-2712

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Emmanuel C Gorospe, MD

Title

President

Phone

(915) 529-0020

Specialties & licenses 1

Addresses

Other names 1

• Texas Gastrodiagnostics, LLC Former legal business name

Locations

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1467077883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366242",
            "telephone_number": "915-529-0020",
            "fax_number": "210-614-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 DIANA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246951",
            "telephone_number": "915-529-0020",
            "fax_number": "915-600-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GASTRODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "GOROSPE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-529-0020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Gastrodiagnostics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Texas Gastrodiagnostics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.