Individual
DR. RONALD GENSBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7026 OLD KATY RD, SUITE 276, HOUSTON, TX 77024-2133
(713) 621-7436
(713) 963-9051
Mailing address
7026 OLD KATY RD, SUITE 276, HOUSTON, TX 77024-2133
(713) 621-7436
(713) 963-9051
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G9099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J245
MEDICARE GROUP
TX
01
—
10029055
AMERIGROUP
TX
05
—
1640807-01
—
TX
01
—
8F7714
BLUE CROSS BLUE SHIELD
TX
01
—
CS7910
MEDICARE RAILROAD GROUP
TX
01
—
P00108194
MEDICARE RAILROAD
TX
Enumeration date
06/05/2006
Last updated
07/18/2013
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