# S.G. GHIDE, M.D,, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679722425
- **Authorized official:** MR. SUSAN E WIESNER (CREDENTIALING/ADMINISTRATION)
- **Authorized official phone:** (281) 851-6431

## Contact information

- **Practice address:** 1120 MEDICAL PLAZA DR, STE 310, SHENANDOAH, TX 77380-3242
- **Practice address phone:** (281) 732-5952
- **Practice address fax:** (281) 377-4733
- **Mailing address:** PO BOX 9840, THE WOODLANDS, TX 77387-6840
- **Mailing address phone:** (281) 732-5952
- **Mailing address fax:** (281) 377-4733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | K9282 | TX | Yes |

## Other

- **Enumeration date:** 09/17/2008
- **Last updated:** 04/28/2017