| Jeffrey P. Gaitz M.d. Pa | |
|
1740 W 27th St Ste 206 Houston TX 77008-1433 | |
| (713) 861-6555 | |
| (713) 861-4589 |
| Full Name | Jeffrey P. Gaitz M.d. Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1740 W 27th St Ste 206, Houston, Texas |
| Authorized Official Name and Position | Jeffrey P Gaitz (DOCTOR/OWNER) |
| Authorized Official Contact | 7138616555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey P. Gaitz M.d. Pa 1740 W 27th St Ste 206 Houston TX 77008-1433 Ph: (713) 861-6555 | Jeffrey P. Gaitz M.d. Pa 1740 W 27th St Ste 206 Houston TX 77008-1433 Ph: (713) 861-6555 |
| NPI Number | 1417240656 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 05/20/2011 |
| Medicare PECOS PAC ID | 5597922633 |
|---|---|
| Medicare Enrollment ID | O20120201000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417240656 | NPI | - | NPPES |
| 113975001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | E9070 (Texas) | Primary |
| Provider Name | Jeffrey Gaitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922044510 PECOS PAC ID: 7911198338 Enrollment ID: I20101118000716 |
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