Gulf Bank Medical Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

H3116 Issued in TX

Legal business name

GULF BANK MEDICAL CENTER

Practice address

302 W Gulf Bank Rd
Houston, TX 77037-2365

Phone

(281) 447-7614

Fax

(281) 447-6514

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Mayor Jr., M.D. P ANPI 1689727257

Title

Ownership/Doctor

Phone

(281) 447-7614

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Mayor Jr., M.D.

  • General Practice Physician
  • Houston, TX
  • NPI 1689727257
  NPD (past) Authorized official

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1093065567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770372365",
            "telephone_number": "281-447-7614",
            "fax_number": "281-447-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770372365",
            "telephone_number": "281-447-7614",
            "fax_number": "281-447-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BANK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MAYOR",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNERSHIP/DOCTOR",
        "authorized_official_telephone_number": "281-447-7614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D. P A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "H3116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126942501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulchin Ergun, MD, PA
• Andrew Gulde, MD
• Maria Kristine Gule-Monroe, M.D.
• Gulf Advanced Diagnostics Sleep Center Inc.
• Gulf Anesthesia Associates PA
• Gulf Bank Pharmacy
• Gulf Biomechanical Laboratory LLC
• Gulf Central Medical
• Gulf Coast Anesthesia, PLLC
• Gulf Coast Back and Spine Injury, PLLC

• Exclusive Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.