Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulf Coast Gastroenterology, PA

Organization Gastroenterology Physician · NPI 1104904077

Gulf Coast Gastroenterology, PA provides Gastroenterology Physician services in Lake Jackson, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

219 Oak Dr S Ste A
Lake Jackson, TX 77566-5675
Phone: (979) 297-4033
Fax: (979) 297-4099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1104904077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Britiany Bush — Office Manager · (979) 297-4033
NPI enumeratedNovember 1, 2006
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address104 Circle Way St Ste B, Lake Jackson, TX 77566-5200

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