Provider Demographics
NPI:1427469352
Name:GNASS, ESTEBAN DARIO (MD)
Entity type:Individual
Prefix:
First Name:ESTEBAN
Middle Name:DARIO
Last Name:GNASS
Suffix:
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 746559
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6559
Mailing Address - Country:US
Mailing Address - Phone:281-440-2829
Mailing Address - Fax:281-440-2293
Practice Address - Street 1:21214 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2105
Practice Address - Country:US
Practice Address - Phone:281-440-2829
Practice Address - Fax:281-440-2293
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7928207ZC0008X, 207ZP0102X, 207ZB0001X
CAA155818207ZP0102X, 207ZB0001X, 207ZC0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0008XAllopathic & Osteopathic PhysiciansPathologyClinical Informatics
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine