Texas Gulf Clinic PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

TEXAS GULF CLINIC PA

Practice address

201 Oak Dr S Ste 203a
Lake Jackson, TX 77566-5777

Phone

(979) 292-0238

Fax

(979) 292-0238

NPI assigned

Sep 26, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel D De Oliveira, MDNPI 1982687026

Title

Director

Phone

(979) 292-0238

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Domingues De Oliveira, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Marquette, MI
  • NPI 1982687026
  NPD (past) Authorized official
• Brett Sherman Baker, PA

  • Physician Assistant
  • Lake Jackson, TX
  • NPI 1215956057
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1306033196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 203A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665777",
            "telephone_number": "979-292-0238",
            "fax_number": "979-292-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 203A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665777",
            "telephone_number": "979-292-0238",
            "fax_number": "979-292-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GULF CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "DE OLIVEIRA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "979-292-0238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.