Houston, Gerry Ann
Houston, Gerry Ann is an individual health care provider with primary practice located at 450 Towne Center Blvd , Ridgeland MS 39157-4804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Houston, Gerry Ann can be contacted via phone (601) 898-1053.Contact Information
Primary practice address
450 Towne Center Blvd
Ridgeland MS 39157-4804
Phone: (601) 898-1053
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 08360 | Mississippi |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 08360 | Mississippi |
Profile Details
NPI number | 1861496465 |
---|---|
LBN Legal business name | Houston, Gerry Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | Feb 12th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861496465 | NPPES |
Other | 4223312 | AETNA HEALTHCARE | |
MEDICAID | 00115432 | AETNA HEALTHCARE | |
MEDICAID | 1967343 | AETNA HEALTHCARE |
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