Healthcare Provider Details

I. General information

NPI: 1134424971
Provider Name (Legal Business Name): GPK SURGICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2011
Last Update Date: 01/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13718 BRIGHTON PARK DR
HOUSTON TX
77044-4434
US

IV. Provider business mailing address

13718 BRIGHTON PARK DR
HOUSTON TX
77044-4434
US

V. Phone/Fax

Practice location:
  • Phone: 713-660-1710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: GRZEGOR KURZYDLO
Title or Position: PRESIDENT
Credential:
Phone: 713-532-7311