Modera Clinic Gi, Pllc

NPI #1063142115 in Frisco, Texas

Provider Information

NPI Number
1063142115
Entity Type
Organization
Organization Name
Modera Clinic Gi, Pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Jun 13, 2022
Last Updated
Oct 4, 2023

Practice Location

Address
5575 FRISCO SQUARE BLVD
Address 2
220
City
Frisco
State
Texas
ZIP Code
75034-3303
Phone
(469) 920-2302

Authorized Official

Name
DR. TREVOR HUBER, DO
Title
PRESIDENT
Phone
(972) 987-0458

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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