Provider Demographics
NPI:1548377534
Name:GAN, SEW HOCK (MD)
Entity type:Individual
Prefix:MR
First Name:SEW
Middle Name:HOCK
Last Name:GAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6565 DEMOSS
Mailing Address - Street 2:219
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-777-3150
Mailing Address - Fax:713-777-4530
Practice Address - Street 1:6565 DEMOSS
Practice Address - Street 2:219
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-777-3150
Practice Address - Fax:713-777-4530
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C15865Medicare UPIN
TX00BQ81Medicare ID - Type Unspecified