Gummelt, Debra Jane

Gummelt, Debra Jane is an individual health care provider with primary practice located at 106 Vision Park Blvd , Shenandoah TX 77384-3000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Gummelt, Debra Jane can be contacted via phone (713) 442-1800.

Contact Information

Primary practice address
106 Vision Park Blvd Shenandoah TX 77384-3000
Phone: (713) 442-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K0485 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X K0485 Texas

Profile Details

NPI number 1326197609
LBN Legal business name Gummelt, Debra Jane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Dec 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326197609 NPPES
Texas MEDICAID 037730106
Texas MEDICAID 037730107

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