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

Modera Clinic Gi, PLLC

Organization Gastroenterology Physician · NPI 1063142115

Modera Clinic Gi, PLLC is a Gastroenterology Physician in Frisco, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5575 Frisco Square Blvd 220
Frisco, TX 75034-3303
Phone: (469) 920-2302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1063142115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevor Huber — President · (972) 987-0458
Other names Modera Gi; Modera Gi
NPI enumeratedJune 13, 2022
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address5575 Frisco Square Blvd, 220, Frisco, TX 75034-3303

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