Individual
DR. GAZELLE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6303 GULFTON ST SUITE 101, HOUSTON, TX 77081
(832) 804-6645
(832) 804-6993
Mailing address
6303 GULFTON ST SUITE 101, HOUSTON, TX 77081
(832) 804-6645
(832) 804-6993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
252279-1
NY
208600000X
Surgery Physician
252279-1
NY
208VP0000X
Pain Medicine Physician
Primary
Q2757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400015770
MEDICARE PTAN
NY
Enumeration date
05/18/2008
Last updated
06/29/2016
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