MEDICARE: MRS. GAURI DAYAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	L3277	TX

General Provider Information

NPI Number	:	1538160635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GAURI DAYAL MD

Provider Business Mailing Address
First Line	:	3032 MARINA BAY DR STE 200
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-4668
Country	:	US
Telephone Number	:	832-604-6534
Fax Number	:	832-604-6531

Provider Business Practice Location Address
First Line	:	3032 MARINA BAY DR STE 200
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-4668
Country	:	US
Telephone Number	:	832-604-6534
Fax Number	:	832-604-6531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/23/2021

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