Texas Modern Gastroenterology
NPI #1902494743 in Sulphur Springs, Texas
Provider Information
- NPI Number
- 1902494743
- Entity Type
- Organization
- Organization Name
- Texas Modern Gastroenterology
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 23, 2024
Practice Location
- Address
- 1216 CHURCH ST
- City
- Sulphur Springs
- State
- Texas
- ZIP Code
- 75482-2108
- Phone
- (903) 588-2222
Authorized Official
- Name
- DR. VIVIAN SAMI EBRAHIM, MD
- Title
- PHYSICIAN OWNER/PHYSICIAN
- Phone
- (214) 729-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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