Healthcare Provider Details

I. General information

NPI: 1023055431
Provider Name (Legal Business Name): FRANK TRAVIS GEROW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6624 FANNIN ST SUITE 2600
HOUSTON TX
77030-2312
US

IV. Provider business mailing address

6624 FANNIN ST SUITE 2600
HOUSTON TX
77030-2312
US

V. Phone/Fax

Practice location:
  • Phone: 713-790-1818
  • Fax: 713-790-7500
Mailing address:
  • Phone: 713-790-1818
  • Fax: 713-790-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberH9949
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberH9949
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: