Provider Demographics
NPI:1316474125
Name:HOU, GINA
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:HOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:KANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3201 S MARYLAND PKWY STE 608
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2428
Mailing Address - Country:US
Mailing Address - Phone:909-558-4403
Mailing Address - Fax:
Practice Address - Street 1:3201 S MARYLAND PKWY STE 608
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2428
Practice Address - Country:US
Practice Address - Phone:702-457-5437
Practice Address - Fax:702-464-5801
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV26867208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine