MEDICARE: GYNECOLOGIC ONCOLOGY OF HOUSTON, 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	207VX0201X	Gynecologic Oncology Physician		TX

General Provider Information

NPI Number	:	1336181924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GYNECOLOGIC ONCOLOGY OF HOUSTON, P.A.

Provider Business Mailing Address
First Line	:	2223 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-665-0404
Fax Number	:	713-665-4007

Provider Business Practice Location Address
First Line	:	2223 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-665-0404
Fax Number	:	713-665-4007

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. GERI LYNN FROMM
Credential	:	M.D.
Telephone Number	:	713-665-0404

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

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