Provider Demographics
NPI:1104457274
Name:TEXAS MIDWEST ENDOSCOPY CENTER, LLC
Entity type:Organization
Organization Name:TEXAS MIDWEST ENDOSCOPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZARNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-370-1031
Mailing Address - Street 1:14 HOSPITAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5289
Mailing Address - Country:US
Mailing Address - Phone:325-795-0053
Mailing Address - Fax:325-795-2113
Practice Address - Street 1:14 HOSPITAL DR STE B
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5289
Practice Address - Country:US
Practice Address - Phone:325-795-0053
Practice Address - Fax:325-795-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty