| Organization Name: | GULFTON HEALTHCARE, INC. |
| NPI Number: | 1467754614 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKHAIL KIM (PRESIDENT) |
| Mailing Address: | 6065 Hillcroft St Suite 306 Houston |
| State: | TX US |
| Postal Code: | 770811087 |
| Phone Number: | 7134920054 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2010 |
| NPI Last Update Date: | 11/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |