Organization · Type 2 NPI

Shriners Hospitals for Children

Pediatric Surgery Physician · Galveston, TX

NPI number 1851631709 Active

Practice location

815 Market St
Galveston, TX 77550-2725

Call (409) 770-6600 Map

Fax (409) 770-6977

Mailing address

PO Box 8500, Lockbox #7642
Philadelphia, PA 19178-7642

Other practice locations

6560 Fannin St Ste 1900, Houston, TX 77030-2785 · (409) 770-6600

Specialties and licenses

Taxonomy	Code	License
Pediatric Surgery Physician Primary	2086S0120X	None listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

27 other providers at this address

NPI record

NPI: 1851631709
Entity type: Organization (Type 2)
Issued: Feb 28, 2013
Last updated: Jul 5, 2023
Status: Active

Other names

<unavail>
Shriners Hospitals for Children Professional Services · other name
Shriners Hospitals for Children Professional Services · other name

Authorized official

Jerry G. Gantt
President
(813) 281-0300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1851631709

Shriners Hospitals for Children's National Provider Identifier is 1851631709, issued on Feb 28, 2013. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Galveston, TX. The record was last updated on Jul 5, 2023.