Organization
MCGOWEN ST. CHILDREN'S CLINIC & PREVENTIVE MEDICINE INSTITUTE
Active
Other names
Professional organization
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN ELIZABETH BROBBEY M.D.,MPH (PHYSICIAN/OWNER/PRES.OF CORPORATION)
(713) 655-1006
Entity
Organization
Contact information
Practice address
2900 SMITH ST, STE 101, HOUSTON, TX 77006-3446
(713) 655-1006
(713) 571-9630
Mailing address
PO BOX 667638, HOUSTON, TX 77266-7638
(713) 655-1006
(713) 571-9630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G0899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236-282-0
ECFMG NUMBER
—
01
—
31381
AMERICAN BD OF PEDIATRICS
—
01
—
48268
MASS BD OF REGISTRATION
MA
01
—
G0899
ST. BD OF MED EXAMINERS
TX
01
—
S0045716
STATE DPS NUMBER
TX
Enumeration date
06/18/2006
Last updated
03/07/2023
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