Healthcare Provider Details

I. General information

NPI: 1063405413
Provider Name (Legal Business Name): GULIZ ERDEM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 500
HOUSTON TX
77030-3005
US

IV. Provider business mailing address

6410 FANNIN ST STE 500
HOUSTON TX
77030-3005
US

V. Phone/Fax

Practice location:
  • Phone: 832-325-7111
  • Fax: 713-512-2233
Mailing address:
  • Phone: 832-325-7111
  • Fax: 713-512-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35-123029
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number35-123029
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number35-123029
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberW4096
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: