MEDICARE: DR. GABRIEL PERRY M,D,

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	207V00000X	Obstetrics & Gynecology Physician	E3597	TX

General Provider Information

NPI Number	:	1538553441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIEL PERRY M,D,

Provider Business Mailing Address
First Line	:	65 WYNDEN OAKS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-2512
Country	:	US
Telephone Number	:	713-963-8853
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 WYNDEN OAKS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-2512
Country	:	US
Telephone Number	:	713-963-8853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2015
Last Update Date	:	03/28/2015

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