Organization
VANGUARD GERIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITH SPOSSEY SAX MSN, RN, GNP-BC (CEO)
(713) 521-0006
Entity
Organization
Contact information
Practice address
4660 BEECHNUT ST STE 218-A, HOUSTON, TX 77096-1824
(713) 521-0006
Mailing address
4660 BEECHNUT ST STE 218, HOUSTON, TX 77096-1825
(713) 521-0006
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
G8285
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
TX
208D00000X
General Practice Physician
—
TX
363LA2200X
Adult Health Nurse Practitioner
—
TX
363LF0000X
Family Nurse Practitioner
637220
TX
363LF0000X
Family Nurse Practitioner
—
TX
363LG0600X
Gerontology Nurse Practitioner
425936
TX
363LG0600X
Gerontology Nurse Practitioner
607064
TX
363LG0600X
Gerontology Nurse Practitioner
—
TX
363LP2300X
Primary Care Nurse Practitioner
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012NL
BCBS TX
TX
05
—
177242801
—
TX
05
—
180881802
—
TX
01
—
NP7230
BCBS
TX
Enumeration date
03/18/2006
Last updated
09/06/2011
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