Texas Gulf Clinic PA
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lake Jackson, TX
NPI 1306033196 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1306033196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 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
- Organization subpart
- No
Authorized official
- Name
- Daniel D De Oliveira, MD
- Title
- Director
- Phone
- (979) 292-0238
Practitioners 2
National Provider Directory
Locations
201 Oak Dr S
Ste 203A
Lake Jackson, TX 77566
Phone (979) 292-0238
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
201 Oak Dr S Ste 203a
Lake Jackson, TX 77566-5777
Mailing address
201 Oak Dr S Ste 203a
Lake Jackson, TX 77566-5777
Phone (979) 292-0238
Other providers in Lake Jackson, TX
- Brandon Allen Tate
- Teleios Anesthesia PLLC
- Texas Em-I Medical Services PA
- Texas Em-I Medical Services, PA
- Texas Family Solutions, LLC
- Texas Neurosciences PLLC
- Texas South-Personal Homecare Services, Inc.
- The Community Hospital of Brazosport
- The Eye Contact, Inc.
- The Hung Pham,D.D.S., P.a.
All providers in Lake Jackson, TX · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.