Organization
GMW HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERALDINE WILSON FNP-C (MEDICAL DIRECTOR)
(281) 397-6745
Entity
Organization
Contact information
Practice address
14310 CASHEL FOREST DR, HOUSTON, TX 77069-3514
(281) 397-6745
(936) 372-9013
Mailing address
14310 CASHEL FOREST DR, HOUSTON, TX 77069-3514
(281) 397-6745
(936) 372-9013
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
641578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407046279
—
TX
Enumeration date
09/11/2009
Last updated
09/11/2009
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