Provider Demographics
NPI:1326587643
Name:HOUSTON REGIONAL GASTROENTEROLOGY INSTITUTE PLLC
Entity type:Organization
Organization Name:HOUSTON REGIONAL GASTROENTEROLOGY INSTITUTE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:DWAIRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-731-0619
Mailing Address - Street 1:15555 CREEK BEND DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4670
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15555 CREEK BEND DR STE 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4670
Practice Address - Country:US
Practice Address - Phone:832-707-5011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9555207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty