Healthcare Provider Details

I. General information

NPI: 1871620070
Provider Name (Legal Business Name): JOSEPH C.GATHE,JR.,M.D.,P.A,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 FANNIN ST
HOUSTON TX
77004-5706
US

IV. Provider business mailing address

4900 FANNIN ST
HOUSTON TX
77004-5706
US

V. Phone/Fax

Practice location:
  • Phone: 713-526-9821
  • Fax: 713-526-0614
Mailing address:
  • Phone: 713-526-9821
  • Fax: 713-526-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH GATHE JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 713-526-9821