Provider Demographics
NPI:1942918610
Name:GEMS HEALTHCARE
Entity Type:Organization
Organization Name:GEMS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA-CARRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-283-2106
Mailing Address - Street 1:22802 SPELLBROOK BEND LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-6395
Mailing Address - Country:US
Mailing Address - Phone:713-283-2106
Mailing Address - Fax:
Practice Address - Street 1:871 CORONADO CENTER DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3977
Practice Address - Country:US
Practice Address - Phone:713-283-2106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEMS HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty