Basic Information
| Provider Information | |||||||||
| NPI: | 1336181924 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GYNECOLOGIC ONCOLOGY OF HOUSTON, P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2223 DORRINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770303209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136650404 | ||||||||
| FaxNumber: | 7136654007 | ||||||||
| Practice Location | |||||||||
| Address1: | 2223 DORRINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770303209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136650404 | ||||||||
| FaxNumber: | 7136654007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FROMM | ||||||||
| AuthorizedOfficialFirstName: | GERI | ||||||||
| AuthorizedOfficialMiddleName: | LYNN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
| AuthorizedOfficialTelephone: | 7136650404 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VX0201X | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology |
No ID Information.