Provider Demographics
NPI:1871340281
Name:GENTLE GI PROCEDURES PLLC
Entity type:Organization
Organization Name:GENTLE GI PROCEDURES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:920-539-1288
Mailing Address - Street 1:2528 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-7324
Mailing Address - Country:US
Mailing Address - Phone:920-539-1288
Mailing Address - Fax:
Practice Address - Street 1:701 N POST OAK RD STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3866
Practice Address - Country:US
Practice Address - Phone:920-539-1288
Practice Address - Fax:713-583-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty