Provider Demographics
NPI:1871620070
Name:JOSEPH C.GATHE,JR.,M.D.,P.A,
Entity type:Organization
Organization Name:JOSEPH C.GATHE,JR.,M.D.,P.A,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:713-526-9821
Mailing Address - Street 1:4900 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5706
Mailing Address - Country:US
Mailing Address - Phone:713-526-9821
Mailing Address - Fax:713-526-0614
Practice Address - Street 1:4900 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5706
Practice Address - Country:US
Practice Address - Phone:713-526-9821
Practice Address - Fax:713-526-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196656601Medicaid