Healthcare Provider Details

I. General information

NPI: 1881809796
Provider Name (Legal Business Name): THOMAS A GASS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11875 W LITTLE YORK RD SUITE 305
HOUSTON TX
77041-4733
US

IV. Provider business mailing address

PO BOX 840311
HOUSTON TX
77284-0311
US

V. Phone/Fax

Practice location:
  • Phone: 713-466-0801
  • Fax: 713-466-0886
Mailing address:
  • Phone: 713-466-0801
  • Fax: 713-466-0886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0065154
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0065154
License Number StateTX

VIII. Authorized Official

Name: MR. THOMAS A GASS
Title or Position: OWNER
Credential:
Phone: 713-466-0801