NPI 1093065567

Gulf Bank Medical Center

Organisation Exclusive Provider Organization Houston, TX

Practice location

Address: 302 W Gulf Bank Rd, Houston, TX 77037-2365
Phone: (281) 447-7614
Fax: (281) 447-6514

Authorised official

Name: Jesus Mayor
Title: Ownership/Doctor
Phone: (281) 447-7614

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence H3116 (TX)

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Registry record

NPI: 1093065567
Entity type: Organization
NPI issued: 12 Sep 2012
Record last updated: 12 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.