Organization
DAMON S. GILMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON SHAROD GILMORE (CEO)
(713) 434-7653
Entity
Organization
Contact information
Practice address
4207 BERAN DR, HOUSTON, TX 77045-4208
(713) 434-7653
(713) 434-7654
Mailing address
PO BOX 460075, HOUSTON, TX 77056-8075
(713) 434-7653
(713) 434-7654
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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