Provider Demographics
NPI:1760737803
Name:UNIVERSITY OF TEXAS MEDICAL FOUNDATION
Entity Type:Organization
Organization Name:UNIVERSITY OF TEXAS MEDICAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGERY RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHRISTEN
Authorized Official - Last Name:GOCHNOUR
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:713-500-7237
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 4.331
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7237
Mailing Address - Fax:713-500-7213
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB 4.331
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7237
Practice Address - Fax:713-500-7213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-15
Last Update Date:2012-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital