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Organization

SHRINERS HOSPITALS FOR CHILDREN

Active
Other names
Shriner's Hospital for Children Houston
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization

Contact information

Practice address
6977 MAIN ST, HOUSTON, TX 77030-3701
(713) 797-1616
(713) 797-1029
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(713) 797-1616
(713) 797-1029

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
Primary
207XP3100X
Pediatric Orthopaedic Surgery Physician
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207Y00000X
Otolaryngology Physician
2081P0010X
Pediatric Rehabilitation Medicine Physician
208200000X
Plastic Surgery Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
2086S0127X
Trauma Surgery Physician
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
02/28/2013
Last updated
01/31/2019
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