Provider Demographics
NPI:1861767691
Name:CLARE GENTRY, M.D., P.A.
Entity type:Organization
Organization Name:CLARE GENTRY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-432-1399
Mailing Address - Street 1:3630 DEAL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3607
Mailing Address - Country:US
Mailing Address - Phone:713-432-1399
Mailing Address - Fax:713-432-1399
Practice Address - Street 1:6560 FANNIN ST STE 1730
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2735
Practice Address - Country:US
Practice Address - Phone:713-383-6882
Practice Address - Fax:832-871-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty