Active NPI
Gulf Coast Professional Medical Services, PLLC
- Neurological Surgery Physician
- Houston, TX
National Provider Identifier
1073936431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- GULF COAST PROFESSIONAL MEDICAL SERVICES, PLLC
- Practice address
- 18333 Egret Bay Blvd
Suite 200
Houston, TX 77058-3860 - Phone
- (281) 333-1300
- NPI assigned
- Jan 21, 2014
- Last updated
- Jan 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Bales
- Title
- Manager
- Phone
- (281) 333-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
18333 Egret Bay Blvd
Suite 200
Houston, TX 77058-3860
Mailing address
18333 Egret Bay Blvd
Suite 200
Houston, TX 77058-3860
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390262400000",
"number": "1073936431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18333 EGRET BAY BLVD",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18333 EGRET BAY BLVD",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583860",
"telephone_number": "281-333-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST PROFESSIONAL MEDICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A",
"authorized_official_last_name": "BALES",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "281-333-1300"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Gulf Coast Pathology Program PLLC
- Gulf Coast Pathology Program PLLC
- Gulf Coast Physical Medicine PLLC
- Gulf Coast Primary Care PLLC
- Gulf Coast Procedure Center LLC
- Gulf Coast Radiology Limited
- Gulf Coast Specialty Providers, PLLC
- Gulf Coast Spine & Neurosurgery PLLC
- Gulf Coast Spine Care LTD., PA
- Gulf Coast Spine Specialties
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.