Individual
DEBRA JANE GUMMELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
106 VISION PARK BLVD, SHENANDOAH, TX 77384-3000
(713) 442-1800
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-4997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K0485
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
K0485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037730106
—
TX
05
—
037730107
—
TX
Enumeration date
01/09/2007
Last updated
12/10/2021
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