Provider Demographics
NPI:1588290761
Name:GIGANTE, JIM
Entity type:Individual
Prefix:
First Name:JIM
Middle Name:
Last Name:GIGANTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 W 11TH ST STE 4013
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6501
Mailing Address - Country:US
Mailing Address - Phone:713-701-1959
Mailing Address - Fax:
Practice Address - Street 1:5607 FOUNTAINBRIDGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1917
Practice Address - Country:US
Practice Address - Phone:713-701-1959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist