Provider Demographics
NPI:1689078545
Name:EL GAMEL, DOAA (BS)
Entity Type:Individual
Prefix:
First Name:DOAA
Middle Name:
Last Name:EL GAMEL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24422 CORNELL PARK LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4288
Mailing Address - Country:US
Mailing Address - Phone:979-216-1171
Mailing Address - Fax:
Practice Address - Street 1:3885 DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6604
Practice Address - Country:US
Practice Address - Phone:409-924-7570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist