Provider Demographics
NPI:1174610463
Name:GEE, JERRY BROOKSHER II (MD)
Entity type:Individual
Prefix:
First Name:JERRY
Middle Name:BROOKSHER
Last Name:GEE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 270898
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-0898
Mailing Address - Country:US
Mailing Address - Phone:713-796-0003
Mailing Address - Fax:713-796-0005
Practice Address - Street 1:5615 KIRBY DRIVE
Practice Address - Street 2:SUITE 440
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005
Practice Address - Country:US
Practice Address - Phone:713-796-0003
Practice Address - Fax:713-796-0005
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK00412080N0001X
LAMD0203282080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84776XOtherBCBS
F32976Medicare UPIN