Organization Active NPI

Damon S. Gilmore

  • Exclusive Provider Organization
  • Houston, TX
National Provider Identifier
1639350317
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
DAMON S. GILMORE
Practice address
4207 Beran Dr
Houston, TX 77045-4208
Phone
(713) 434-7653
Fax
(713) 434-7654
NPI assigned
Nov 21, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Damon Sharod Gilmore
Title
Ceo
Phone
(713) 434-7653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

4207 Beran Dr
Houston, TX 77045-4208

Mailing address

PO Box 460075
Houston, TX 77056-8075
Phone (713) 434-7653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1639350317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460075",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770568075",
            "telephone_number": "713-434-7653",
            "fax_number": "713-434-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 BERAN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454208",
            "telephone_number": "713-434-7653",
            "fax_number": "713-434-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON S. GILMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "SHAROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-434-7653"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "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 21, 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.