Summit Gastroenterology Pllc

NPI #1114355385 in Mansfield, Texas

Provider Information

NPI Number
1114355385
Entity Type
Organization
Organization Name
Summit Gastroenterology Pllc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Oct 24, 2013
Last Updated
May 29, 2019

Practice Location

Address
309 REGENCY PKWY STE 101
State
Texas
ZIP Code
76063-5165
Phone
(682) 400-2153

Authorized Official

Name
SUNITHA PUDHOTA, MD
Title
OWNER
Phone
(682) 400-2153

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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