Individual
DR. JAIME GANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6776 SOUTHWEST FWY, STE 630, HOUSTON, TX 77074-2107
(713) 524-0058
(713) 524-8584
Mailing address
6776 SOUTHWEST FWY, STE 630, HOUSTON, TX 77074-2107
(713) 524-0058
(713) 524-8584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E0925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238149-03
—
TX
Enumeration date
10/04/2006
Last updated
05/22/2008
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