Provider Demographics
NPI:1770718124
Name:GULF CENTRAL MEDICAL
Entity type:Organization
Organization Name:GULF CENTRAL MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH-LE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-922-7511
Mailing Address - Street 1:2130 GULF CENTRAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023
Mailing Address - Country:US
Mailing Address - Phone:713-339-2333
Mailing Address - Fax:713-339-2206
Practice Address - Street 1:2130 GULF CENTRAL DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023
Practice Address - Country:US
Practice Address - Phone:713-339-2333
Practice Address - Fax:713-339-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty