Gilgal and Medstar Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GILGAL AND MEDSTAR MEDICAL CENTER

Practice address

14506 Holles Dr
Sugar Land, TX 77498-2782

Phone

(832) 933-5866

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Sama Tita, RPH

Title

Managing Member

Phone

(713) 582-7815

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Chundenu Kientcha -Tita, M.D

  • Family Medicine Physician
  • Houston, TX
  • NPI 1306919162
  NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1710750765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 HOLLES DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982782",
            "telephone_number": "832-933-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 HOLLES DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982782",
            "telephone_number": "832-933-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILGAL AND MEDSTAR MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "TITA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "SAMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "713-582-7815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Gibson, PH.D.
• Tonnessa Gibson, LPC,NCC
• Rachel Irene Gilbert, PHARMD
• Jacoby Deonte Gilder
• Marcus Antoine Giles
• Bartley Joseph Gill, M.D., PH.D.
• Sherry Malcomb Gill, M.A.
• Joslyn Gillen
• Krystal Gillmiam
• Claudiesha Gilmore

• Primary Care Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.