MEDICARE: GULF COAST ORTHOPEDIC AND HAND SURGERY

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	207X00000X	Orthopaedic Surgery Physician	P4002	TX
2	207XS0106X	Orthopaedic Hand Surgery Physician	P4002	TX

General Provider Information

NPI Number	:	1326441700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF COAST ORTHOPEDIC AND HAND SURGERY

Provider Business Mailing Address
First Line	:	2172 SWIFT BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1216
Country	:	US
Telephone Number	:	734-717-5278
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 WESTHEIMER RD STE 602
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5222
Country	:	US
Telephone Number	:	281-247-5554
Fax Number	:	532-435-3832

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	MANEESH KUMAR VERMA
Credential	:	MD
Telephone Number	:	281-247-5554

Provider Enumeration Date	:	09/30/2014
Last Update Date	:	11/19/2022

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Directions to “GULF COAST ORTHOPEDIC AND HAND SURGERY ” Practice Location

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