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NPI Code Detail

MEDICARE: GARY EDWARD STAPLETON MD

MEDICARE: GARY EDWARD STAPLETON MD
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
12080P0202XPediatric Cardiology PhysicianME98491FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447477385
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY EDWARD STAPLETON MD
Provider Business Mailing Address
First Line : 6651 MAIN ST STE E1920
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2428
Country : US
Telephone Number : 832-824-1000
Fax Number : 832-826-4297
Provider Business Practice Location Address
First Line : 6651 MAIN ST STE E1920
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2428
Country : US
Telephone Number : 832-824-1000
Fax Number : 832-826-4297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 04/15/2021

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