Organization
S.G. GHIDE, M.D,, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUSAN E WIESNER (CREDENTIALING/ADMINISTRATION)
(281) 851-6431
Entity
Organization
Contact information
Practice address
1120 MEDICAL PLAZA DR, STE 310, SHENANDOAH, TX 77380-3242
(281) 732-5952
(281) 377-4733
Mailing address
PO BOX 9840, THE WOODLANDS, TX 77387-6840
(281) 732-5952
(281) 377-4733
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
K9282
TX
Other
Enumeration date
09/17/2008
Last updated
04/28/2017
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