MEDICARE: GIFTER MEDICAL SERVICES

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1972741080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIFTER MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	10101 FONDREN RD
Second Line	:	SUITE 255
City	:	HOUSTON
State	:	TX
Zip	:	77096-4564
Country	:	US
Telephone Number	:	832-212-1699
Fax Number	:	713-272-7631

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD STE 255
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4844
Country	:	US
Telephone Number	:	832-212-1699
Fax Number	:	713-272-7631

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MERCY O AINABE
Credential	:
Telephone Number	:	832-212-1699

Provider Enumeration Date	:	01/27/2009
Last Update Date	:	01/27/2009

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Directions to “GIFTER MEDICAL SERVICES ” Practice Location

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