Individual provider Active NPI

Gouxiang He, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1073536835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3749 Issued in TX
Practice address
4040 Broadway St
Houston, TX 77087-4704
Phone
(713) 644-3602
Fax
(713) 643-3405
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3749 TX Primary

Addresses

Primary practice location

4040 Broadway St
Houston, TX 77087-4704

Mailing address

7048 Bissonnet St
Houston, TX 77074-6010
Phone (713) 644-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001479 TX Practitioner - Family Practice 8325022049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bunker Hill Urgent Care PLLC Dba Entrust Immediate CareGroup PAC ID 6103951256, 3 clinicians

Practice addresses (Care Compare)

9778 Katy Fwy
Suite 100
Houston, TX 77055-6245
Phone (281) 306-5926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K3749TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Cure Primary Care Physicians PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073536835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770746010",
            "telephone_number": "713-644-3602",
            "fax_number": "713-643-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874704",
            "telephone_number": "713-644-3602",
            "fax_number": "713-643-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "GOUXIANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.