Individual
DAVID M. GERSHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
F4835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116173901
—
TX
01
—
160016392
RR MEDICARE
TX
01
—
800135
BCBS
TX
05
—
P083644F2
—
TX
Enumeration date
09/20/2006
Last updated
04/13/2011
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