Provider Demographics
NPI:1649722927
Name:LAURENT GRESSOT, MD, PA
Entity type:Organization
Organization Name:LAURENT GRESSOT, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRESSOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-805-1327
Mailing Address - Street 1:5419 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4703
Mailing Address - Country:US
Mailing Address - Phone:713-805-1327
Mailing Address - Fax:
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE 203
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:713-805-1327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty