Active NPI
Alicia Gentry, PA-C
- Physician Assistant
- Tomball, TX
National Provider Identifier
1972945145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08491
- Practice address
- 929 Graham Dr
Suite B
Tomball, TX 77375-6451 - Phone
- (281) 351-5548
- Fax
- (281) 351-5020
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA08491 | TX | Primary |
Addresses
Primary practice location
929 Graham Dr
Suite B
Tomball, TX 77375-6451
Mailing address
929 Graham Dr
Suite B
Tomball, TX 77375-6451
Phone (281) 351-5548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA08491 | Other | TX | STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA08491 | TX | MD | Physician Assistant |
Interoperability endpoints
- alicia.gentry@hca7.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1972945145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 GRAHAM DR",
"address_2": "SUITE B",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773756451",
"telephone_number": "281-351-5548",
"fax_number": "281-351-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 GRAHAM DR",
"address_2": "SUITE B",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773756451",
"telephone_number": "281-351-5548",
"fax_number": "281-351-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "ALICIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "PA08491",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.