| Gps Physician Group Of Texas Pllc | |
|
515 Fairmount Ave Towson MD 21286-5466 | |
| (410) 832-7790 | |
| Not Available |
| Full Name | Gps Physician Group Of Texas Pllc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 515 Fairmount Ave, Towson, Maryland |
| Authorized Official Name and Position | Eric Shapiro (VP/AREA CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gps Physician Group Of Texas Pllc Po Box 42738 Towson MD 21284-2738 Ph: (410) 832-7790 | Gps Physician Group Of Texas Pllc 515 Fairmount Ave Towson MD 21286-5466 Ph: (410) 832-7790 |
| NPI Number | 1124572763 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124572763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 802462079 (Texas) | Primary |
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