MEDICARE: DR. MADELEINE GANTZ 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
1	207N00000X	Dermatology Physician	T0487	TX

General Provider Information

NPI Number	:	1821526674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADELEINE GANTZ MD

Provider Business Mailing Address
First Line	:	1601 E PFLUGERVILLE PKWY STE 1102
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-6148
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 SAINT JAMES PL STE 600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-4136
Country	:	US
Telephone Number	:	713-850-0240
Fax Number	:

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

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	07/25/2022

Similar Medicare Providers

1598895831 — SUZANNE BRUCE AND ASSOCIATES, P.A.
Practice Location Address:

1900 SAINT JAMES PL STE 600
HOUSTON, TX
77056-4136

Practice Phone: 713-850-0240
Practice Fax: 713-850-0895

1760706774 — DR. RYAN KEITH COUVILLION M.D.
Practice Location Address:

1900 SAINT JAMES PL STE 600
HOUSTON, TX
77056-4136

Practice Phone: 713-850-0240
Practice Fax:

1710516497 — ALISSA REDKO ADLER MD
Practice Location Address:

1900 SAINT JAMES PL STE 600
HOUSTON, TX
77056-4136

Practice Phone: 713-850-0240
Practice Fax:

1316999063 — EDNA M. LEWIN
Practice Location Address:

7215 LA GRANADA DR
HOUSTON, TX
77083-4136

Practice Phone: 281-575-0526
Practice Fax: 281-575-0057

1467495739 — WILLOWBROOK EMS GROUP INC
Practice Location Address:

519 N SAM HOUSTON PKWY E STE 430
HOUSTON, TX
77060-4136

Practice Phone: 281-469-1551
Practice Fax: 888-887-4985

1245568674 — MRS. EDNA M LEWIN RN, MSN
Practice Location Address:

7215 LA GRANADA DR
HOUSTON, TX
77083-4136

Practice Phone: 281-575-0526
Practice Fax: 281-575-0057

Directions to “ DR. MADELEINE GANTZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.