Organization Active NPI

North Texas Triangle Gastroenterology, P. a.

  • Health Service Clinic/Center
  • Denton, TX
National Provider Identifier
1649396755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
L4662 Issued in TX
Legal business name
NORTH TEXAS TRIANGLE GASTROENTEROLOGY, P. A.
Practice address
2900 N Interstate 35
Suite 101
Denton, TX 76201-5141
Phone
(940) 898-8245
Fax
(940) 898-8247
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gang Quan, M.D.NPI 1962511501
Title
President
Phone
(214) 394-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X L4662 TX Primary

Addresses

Primary practice location

2900 N Interstate 35
Suite 101
Denton, TX 76201-5141

Mailing address

2900 N Interstate 35
Suite 101
Denton, TX 76201-5141
Phone (940) 898-8245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001545 TX Part B Supplier - Clinic/Group Practice 0840260428 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX; Plano, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2501 Scripture St
Ste 205
Denton, TX 76201
Phone (214) 394-6691

3313 Unicorn Lake Blvd
Ste 152
Denton, TX 76210
Phone (214) 394-6691

3012 Communications Pkwy
Ste 200
Plano, TX 75093
Phone (469) 616-1922

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649396755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N INTERSTATE 35",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015141",
            "telephone_number": "940-898-8245",
            "fax_number": "940-898-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N INTERSTATE 35",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015141",
            "telephone_number": "940-898-8245",
            "fax_number": "940-898-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS TRIANGLE GASTROENTEROLOGY, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "GANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-394-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "L4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.