Provider Demographics
NPI:1407256902
Name:GAUGE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:GAUGE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-952-4077
Mailing Address - Street 1:2401 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 215B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4827
Mailing Address - Country:US
Mailing Address - Phone:713-952-4077
Mailing Address - Fax:832-201-7555
Practice Address - Street 1:2401 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 215B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4827
Practice Address - Country:US
Practice Address - Phone:713-952-4077
Practice Address - Fax:832-201-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic MedicineGroup - Single Specialty