Provider Demographics
NPI:1346415833
Name:ROSALYN A GAYLE MD, PA
Entity Type:Organization
Organization Name:ROSALYN A GAYLE MD, PA
Other - Org Name:WOMENS HEALTHCARE CENTER OF BAYTOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RELOUNDA
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-837-2100
Mailing Address - Street 1:1674 W BAKER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2285
Mailing Address - Country:US
Mailing Address - Phone:281-837-2100
Mailing Address - Fax:281-837-8878
Practice Address - Street 1:1674 W BAKER RD
Practice Address - Street 2:SUITE A
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521
Practice Address - Country:US
Practice Address - Phone:281-837-2100
Practice Address - Fax:281-837-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6232207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030199601Medicaid
TXE72629Medicare UPIN
TX00459MMedicare PIN