Organization · Type 2 NPI
Greater Gulf Health Plan, LLC
General Practice Physician · Houston, TX
NPI number
1457574006
Active
Practice location
260 N Sam Houston Pkwy E Ste 220
Houston, TX 77060-2022
Fax (281) 447-6802
Mailing address
260 N Sam Houston Pkwy E, Suite 220
Houston, TX 77060-2018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 01486663 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1457574006
Greater Gulf Health Plan, LLC's National Provider Identifier is 1457574006, issued on Apr 11, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Houston, TX. The record was last updated on Jun 18, 2008.