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 is a Gastroenterology Physician 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

Other providers in Lake Jackson