Provider Demographics
NPI:1023342094
Name:GASDOC
Entity type:Organization
Organization Name:GASDOC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:WARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-888-5237
Mailing Address - Street 1:5502 SILVERPARK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-7642
Mailing Address - Country:US
Mailing Address - Phone:832-922-0136
Mailing Address - Fax:713-896-0003
Practice Address - Street 1:411 N SAM HOUSTON PKWY E STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3555
Practice Address - Country:US
Practice Address - Phone:346-888-5237
Practice Address - Fax:346-888-5864
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS INTERGRATIVE PAIN INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-24
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9003207L00000X
261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty