Provider Demographics
NPI:1336181924
Name:GYNECOLOGIC ONCOLOGY OF HOUSTON, P.A.
Entity Type:Organization
Organization Name:GYNECOLOGIC ONCOLOGY OF HOUSTON, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FROMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-665-0404
Mailing Address - Street 1:2223 DORRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3209
Mailing Address - Country:US
Mailing Address - Phone:713-665-0404
Mailing Address - Fax:713-665-4007
Practice Address - Street 1:2223 DORRINGTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3209
Practice Address - Country:US
Practice Address - Phone:713-665-0404
Practice Address - Fax:713-665-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U93MMedicare ID - Type UnspecifiedPROVIDER NUMBER