Organization
GULF BANK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS MAYOR JR. M.D. P A (OWNERSHIP/DOCTOR)
(281) 447-7614
Entity
Organization
Contact information
Practice address
302 W GULF BANK RD, HOUSTON, TX 77037-2365
(281) 447-7614
(281) 447-6514
Mailing address
302 W GULF BANK RD, HOUSTON, TX 77037-2365
(281) 447-7614
(281) 447-6514
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
H3116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126942501
—
TX
Enumeration date
09/12/2012
Last updated
09/12/2012
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