Provider Demographics
NPI:1215930276
Name:TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP
Entity type:Organization
Organization Name:TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GALATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-794-0700
Mailing Address - Street 1:6620 MAIN ST
Mailing Address - Street 2:STE 1500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2331
Mailing Address - Country:US
Mailing Address - Phone:713-520-8432
Mailing Address - Fax:713-600-7300
Practice Address - Street 1:6620 MAIN ST
Practice Address - Street 2:STE 1500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2331
Practice Address - Country:US
Practice Address - Phone:713-520-8432
Practice Address - Fax:713-600-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008100261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00188004OtherRAILROAD MEDICARE
TXHH043AOtherBLUE CROSS/BLUESHIELD
TXASC230Medicare PIN