Provider Demographics
NPI:1336033695
Name:CAD MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:CAD MEDICAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GONZALO
Authorized Official - Middle Name:
Authorized Official - Last Name:URIBE-BOTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-779-1633
Mailing Address - Street 1:6655 HILLCROFT AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4824
Mailing Address - Country:US
Mailing Address - Phone:713-779-1633
Mailing Address - Fax:713-995-5914
Practice Address - Street 1:6655 HILLCROFT AVE STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4824
Practice Address - Country:US
Practice Address - Phone:713-779-1633
Practice Address - Fax:713-995-5914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty