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NPI Code Detail

MEDICARE: GEMMA BURCHELL

MEDICARE:   GEMMA  BURCHELL
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
1208100000XPhysical Medicine & Rehabilitation Physician2073908TX

General Provider Information

NPI Number : 1306301825
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEMMA BURCHELL
Provider Business Mailing Address
First Line : 4800 LAMONTE LN APT 311
Second Line :
City : HOUSTON
State : TX
Zip : 77092-5411
Country : US
Telephone Number : 832-493-8170
Fax Number :
Provider Business Practice Location Address
First Line : 1615 HILLENDAHL BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-3402
Country : US
Telephone Number : 832-493-8170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2019
Last Update Date : 02/08/2019

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Directions to “ GEMMA BURCHELL ” Practice Location

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