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NPI Code Detail

MEDICARE: CLARE N GENTRY M.D.

MEDICARE:   CLARE N GENTRY  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
1207R00000XInternal Medicine PhysicianL6392TX
2207RI0200XInfectious Disease Physician2006011984MO
3207RI0200XInfectious Disease PhysicianL6392TX

General Provider Information

NPI Number : 1881635209
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARE N GENTRY M.D.
Provider Business Mailing Address
First Line : PO BOX 58538
Second Line :
City : WEBSTER
State : TX
Zip : 77598-8538
Country : US
Telephone Number : 346-739-8020
Fax Number :
Provider Business Practice Location Address
First Line : 4615 SOUTHWEST FWY STE 1000
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7108
Country : US
Telephone Number : 346-739-8020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/10/2026

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Directions to “ CLARE N GENTRY M.D.” Practice Location

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