Provider Demographics
NPI:1285329201
Name:NORTH HOUSTON GASTROENTEROLOGY INSTITUTE
Entity type:Organization
Organization Name:NORTH HOUSTON GASTROENTEROLOGY INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BALA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-428-4107
Mailing Address - Street 1:70 S SCRIBEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1442
Mailing Address - Country:US
Mailing Address - Phone:678-428-4107
Mailing Address - Fax:
Practice Address - Street 1:9180 PINECROFT DR STE 250
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-4261
Practice Address - Country:US
Practice Address - Phone:832-934-7675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty