Premier Gastroenterology of Texas PA
NPI 1265719140ActiveOrganization· Internal Medicine, Gastroenterology· Dallas, TX
Internal Medicine, Gastroenterology in Dallas, Texas, registered in NPPES in November 2011. The authorized official on file is Damien Bassam Mallat, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265719140 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2011 |
| Last updated in NPPES | Apr 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | L0393 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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