MEDICARE: MS. GILDA F NORRIS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1962739300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GILDA F NORRIS

Provider Business Mailing Address
First Line	:	PO BOX 38190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77238-8190
Country	:	US
Telephone Number	:	832-643-8760
Fax Number	:

Provider Business Practice Location Address
First Line	:	3016 PAUL QUINN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-4631
Country	:	US
Telephone Number	:	713-681-3620
Fax Number	:

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

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	11/05/2009

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