Organization
CTMC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN GILL (CEO)
(281) 320-2338
Entity
Organization
Contact information
Practice address
10850 LOUETTA RD STE 1500, HOUSTON, TX 77070-3537
(281) 320-2338
(281) 320-2349
Mailing address
PO BOX 5943, VIRGINIA BEACH, VA 23471-0943
(346) 704-5400
(413) 540-0159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/26/2017
Last updated
03/17/2018
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