Healthcare Provider Details

I. General information

NPI: 1174713861
Provider Name (Legal Business Name): GAIL STERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2007
Last Update Date: 07/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 BELLAIRE BLVD
BELLAIRE TX
77401-3901
US

IV. Provider business mailing address

5201 BELLAIRE BLVD
BELLAIRE TX
77401-3901
US

V. Phone/Fax

Practice location:
  • Phone: 713-666-1704
  • Fax: 713-666-1184
Mailing address:
  • Phone: 713-666-1704
  • Fax: 713-666-1184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number50572
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: