Basic Information
| Provider Information | |||||||||
| NPI: | 1356697197 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GURJI | ||||||||
| FirstName: | HUNAID | ||||||||
| MiddleName: | ADAM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1133 JOHN FREEMAN BLVD STE 205-J | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135005586 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 17500 W GRAND PKWY S | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774792562 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2817255000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2012 | ||||||||
| LastUpdateDate: | 02/07/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Q4122 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 346328304 | 05 | TX | MEDICAID | 346328303 | 05 | TX | MEDICAID |