Provider Demographics
NPI:1972741080
Name:GIFTER MEDICAL SERVICES
Entity Type:Organization
Organization Name:GIFTER MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:O
Authorized Official - Last Name:AINABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-212-1699
Mailing Address - Street 1:10101 FONDREN RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4564
Mailing Address - Country:US
Mailing Address - Phone:832-212-1699
Mailing Address - Fax:713-272-7631
Practice Address - Street 1:10101 FONDREN RD STE 255
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4844
Practice Address - Country:US
Practice Address - Phone:832-212-1699
Practice Address - Fax:713-272-7631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service