Organization
GERIATRIC PHYSICIANS CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIS FOWLER-GULDE M.D. (PRESIDENT)
(409) 440-9336
Entity
Organization
Contact information
Practice address
2 N FLAMINGO ST, LA MARQUE, TX 77568-6528
(409) 440-9336
(713) 588-8410
Mailing address
2 N FLAMINGO ST, LA MARQUE, TX 77568-6528
(409) 440-9336
(713) 588-8410
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
K1438
TX
Other
Enumeration date
10/22/2010
Last updated
01/21/2012
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