Active NPI
Damon S. Gilmore
- Exclusive Provider Organization
- Houston, TX
National Provider Identifier
1639350317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.