Provider Demographics
NPI:1699810390
Name:DONLEY-URITA, GAIL E (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:DONLEY-URITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:E
Other - Last Name:DONLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:21700 BELLAIRE BLVD STE 1520
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3913
Mailing Address - Country:US
Mailing Address - Phone:281-599-0300
Mailing Address - Fax:281-599-7807
Practice Address - Street 1:21700 BELLAIRE BLVD STE 1520
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3913
Practice Address - Country:US
Practice Address - Phone:281-599-0300
Practice Address - Fax:281-599-7807
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6844207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN6844OtherMEDICAL LICENSE
TXTXB112132Medicare PIN
TX217746102Medicaid
TXTXB112131Medicare PIN
TXTXB128986Medicare PIN
TX217746103Medicaid
TXTXB112130Medicare PIN