Greater Gulf Health Plan, Llc in Houston - General Practice

Greater Gulf Health Plan, Llc - NPI 1457574006

Greater Gulf Health Plan, Llc is a General Practice in Houston, Texas. Greater Gulf Health Plan, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Greater Gulf Health Plan, Llc is 1457574006. The last update date is 2008-06-18.

Greater Gulf Health Plan, Llc's current location address is 260 N Sam Houston Pkwy E, Houston, Texas. You can contact this provider via phone number 2814476800 and fax number 2814476802. The mailing address for Greater Gulf Health Plan, Llc is 260 N Sam Houston Pkwy E, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greater Gulf Health Plan, Llc
Address 260 N Sam Houston Pkwy E, Houston, Texas
Phone Number 2814476800
Fax Number 2814476802
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wedekind J Lawrence
Telephone Number 2814476800

NPI Number Detail

NPI Number 1457574006
Provider Enumeration Date 2007-04-11
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 260 N Sam Houston Pkwy E
City Houston
State Texas (TX)
Post Code 770602018
Phone Number 2814476800
Fax Number 2814476802

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 1486663
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
176768301 TX --
176768302 TX --
00690K TX BCBS ID

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FAQs about Greater Gulf Health Plan, Llc

What is the Greater Gulf Health Plan, Llc's 1457574006?

The Greater Gulf Health Plan, Llc's NPI (National Provider Identifier) Number is 1457574006. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Greater Gulf Health Plan, Llc located?

The Greater Gulf Health Plan, Llc is located at 260 N Sam Houston Pkwy E, Houston, TX 770602018.

What is Greater Gulf Health Plan, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Greater Gulf Health Plan, Llc is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1457574006 to Greater Gulf Health Plan, Llc?

The Centers for Medicare & Medicaid Services assigned the 1457574006 to Greater Gulf Health Plan, Llc on 2007-04-11.

As of what date were the details related to Greater Gulf Health Plan, Llc most recently updated or revised?

The information pertaining to Greater Gulf Health Plan, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-18.

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