MEDICARE: GREATER TEXAS EMERGENCY CONSULTANTS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00496N	OTHER	TX	MEDICARE ID-TYPE UNSPECIF

General Provider Information

NPI Number	:	1043296932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER TEXAS EMERGENCY CONSULTANTS, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 4296
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4296
Country	:	US
Telephone Number	:	281-494-4832
Fax Number	:	281-494-7399

Provider Business Practice Location Address
First Line	:	4200 TWELVE OAKS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6812
Country	:	US
Telephone Number	:	281-494-4832
Fax Number	:	281-494-4010

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. GREGORY ALLEN STARR
Credential	:	M.D.
Telephone Number	:	281-494-4832

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	02/20/2008

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