| Organization Name: | P J GERNERAL ORTHOPEDIC CENTER, PA |
| NPI Number: | 1013117233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLYN BRUCE (V.P. OF FINANCE/MIS) |
| Mailing Address: | 18929 Highway 59 N Humble |
| State: | TX US |
| Postal Code: | 773384270 |
| Phone Number: | 2814464053 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 007917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |