PREMIER GASTROENTEROLOGY OF TEXAS PA
Osteopathic Medicine in Dallas, TX

License number
Texas L0393
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. DAMIEN BASSAM MALLAT M.D.
Title: PRESIDENT
Phone: (972) 566-5266
Address
Address
7777 Forest Lane Bldg. C SUITE 204, Dallas, TX 75230
National Provider ID: 1265719140
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER GASTROENTEROLOGY OF TEXAS, PA

3905 Southwestern Blvd, Dallas, TX 75225

Doing business as:
Premier Gastroenterology of Texas, PA
Registration:
Sep 26, 2011
State ID:
0801485513
Business type:
Professional Association
Director, Member, President:
Damien B. Mallat (Director, Member, President)
Agent:
Rosa Mallat,7777 Frst Ln BLDG C SUITE 204, Dallas, TX 75230 (Physical)
TIN:
32045159467

premier gastroenterology of texas PA

7777 Frst Ln SUITE 204 BLDG C, Dallas, TX 75230

Status:
Inactive
Industry:
Nonclassifiable Establishments
Site:
premiergastrotx.com
Phone:
(972) 566-5266 (Phone)
Office Managers:
Damien B. Mallat Gastroenterology, President, inactive,Dee Thomas Office Manager, inactive
Categories:
Physicians & Surgeons - Gastroenterology

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