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45D0995778 CLIA NUMBER - GULF BANK MEDICAL CENTER JESUS MAYOR, MD

Laboratory Demographics

CLIA Number: 45D0995778

Facility Name: GULF BANK MEDICAL CENTER JESUS MAYOR, MD

Facility Address:
302 W GULF BANK ROAD
HOUSTON, TX
ZIP 77037
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Facility Phone Number: 281 447-7614

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1093065567

Taxonomy: 302F00000X - Exclusive Provider Organization
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

CLIA Record

Field Name Field Value
CLIA Number 45D0995778
LAB Type Physician Office
Facility Name GULF BANK MEDICAL CENTER JESUS MAYOR, MD
Street 302 W GULF BANK ROAD
City HOUSTON
State TX
ZIP 77037
Phone 281 447-7614
CertificateType 3
CertificateEffectiveDate 1/31/2024
CertificateExpirationDate 1/30/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024