| Doctor Name: | MISS GAIL TYRIA HOUSTON |
| NPI Number: | 1316929888 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | C100031 |
| Business Practice Address: | 210 Grant Ave Room 1809 Fort Leavenworth, KS - 660271231 |
| Business Phone Number: | 9137583791 |
| Business Fax Number: | |
| Mailing Address: | 2412 Mountain Rd, JOPPA |
| State: | MD |
| Postal Code: | 210852338 |
| Phone Number: | 4102624305 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C100031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |