Organization Active NPI

Gulfton Med Clinic

  • Specialist
  • Houston, TX
National Provider Identifier
1427489590
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F6235 Issued in TX
Legal business name
GULFTON MED CLINIC
Practice address
6306 Gulfton St
101
Houston, TX 77081-1117
Phone
(713) 981-6151
Fax
(832) 433-7861
NPI assigned
Nov 27, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Lynn R Gibbs, MD
Title
Medical Director
Phone
(713) 981-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F6235 TX Primary

Addresses

Primary practice location

6306 Gulfton St
101
Houston, TX 77081-1117

Mailing address

6306 Gulfton St
101
Houston, TX 77081-1117
Phone (713) 981-6151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1427489590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 GULFTON ST",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811117",
            "telephone_number": "713-981-6151",
            "fax_number": "832-433-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 GULFTON ST",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811117",
            "telephone_number": "713-981-6151",
            "fax_number": "832-433-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFTON MED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-981-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.