Individual
KASEY L GILDERSLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13300 HARGRAVE RD, SUITE 505, HOUSTON, TX 77070-4373
(281) 737-1167
Mailing address
13300 HARGRAVE RD, SUITE 505, HOUSTON, TX 77070-4373
(281) 737-1167
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101280125
VA
2084N0400X
Neurology Physician
036167040
IL
2084N0400X
Neurology Physician
Primary
P6822
TX
2084V0102X
Vascular Neurology Physician
036167040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347144301
—
TX
05
—
347144302
—
TX
01
—
8FD120
BLUE CROSS BLUE SHIELD
TX
01
—
P01556692
RR MEDICARE
TX
Enumeration date
11/10/2009
Last updated
02/21/2024
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