Provider Demographics
NPI:1184701708
Name:GORDON L. BISEL, INC.
Entity type:Organization
Organization Name:GORDON L. BISEL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BISEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-669-0117
Mailing Address - Street 1:4766 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1637
Mailing Address - Country:US
Mailing Address - Phone:713-669-0117
Mailing Address - Fax:713-669-9275
Practice Address - Street 1:4766 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1637
Practice Address - Country:US
Practice Address - Phone:713-669-0117
Practice Address - Fax:713-669-9275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50019237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty