Healthcare Provider Details

I. General information

NPI: 1932495413
Provider Name (Legal Business Name): YURI M GELFAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 GREENBRIAR ST SUITE #320
HOUSTON TX
77098
US

IV. Provider business mailing address

4101 GREENBRIAR ST SUITE #320
HOUSTON TX
77098-5294
US

V. Phone/Fax

Practice location:
  • Phone: 713-795-0111
  • Fax: 713-795-8586
Mailing address:
  • Phone: 713-795-0111
  • Fax: 713-795-8586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberN9551
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: