GULF BANK MEDICAL CENTER
NPI 1093065567
Exclusive Provider Organization in Houston, TX

NPI Status: Active since September 12, 2012

Contact Information

302 W GULF BANK RD
HOUSTON, TX
ZIP 77037
Phone: (281) 447-7614
Fax: (281) 447-6514

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  • Organization
  • Exclusive Provider Organization
  • Accepts Insurance
  • CLIA Number: 45D0995778
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-30-2026

About GULF BANK MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Gulf Bank Medical Center, a provider established in Houston, Texas operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1093065567 assigned on September 2012. The practitioner's primary taxonomy code is 302F00000X with license number H3116 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Jesus Mayor Jr. M.d. P A (Ownership/doctor)

NPI
1093065567
Provider Name
GULF BANK MEDICAL CENTER
Entity Type
Organization
Location Address
302 W GULF BANK RD HOUSTON, TX 77037
Location Phone
(281) 447-7614
Location Fax
(281) 447-6514
Mailing Address
302 W GULF BANK RD HOUSTON, TX 77037
Mailing Phone
(281) 447-7614
Mailing Fax
(281) 447-6514
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2012
Last Update Date
09-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
H3116
License State
TX
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JESUS MAYOR JR. M.D. P A

Authorized Official Title
OWNERSHIP/DOCTOR
Authorized Official Phone
(281) 447-7614

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
126942501MEDICAID (05)TX 
C118998MEDICARE UPIN (02)TX 
00A38SMEDICARE PIN (08)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0995778
Facility Type
Physician Office
Certificate Effective Date
January 31, 2024
Certificate Expiration Date
January 30, 2026
Laboratory Director
JESUS MAYOR MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Gulf Bank Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for GULF BANK MEDICAL CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093065567
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201830610512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 6 + 1 + 0 + 5 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1093065567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

EMUN MEASHO

Physician Assistant

302 W GULF BANK RD
HOUSTON, TX
ZIP 77037

(281) 447-7614

MEDICAL CARE CENTER LLC

Hospitalist

302 W GULF BANK RD
HOUSTON, TX
ZIP 77037

(832) 202-5810

AMINA GLOBAL ENTERPRISE LLC

Clinical Medical Laboratory

302 W GULF BANK RD
HOUSTON, TX
ZIP 77037

(832) 202-5810

DR. JESUS MAYOR JR. M.D.

General Practice

302 W GULF BANK RD
HOUSTON, TX
ZIP 77037

(281) 447-7614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093065567, enumerated as an "organization" on September 12, 2012.

The provider is located at 302 W GULF BANK RD HOUSTON, TX 77037 and the phone number is (281) 447-7614.

Exclusive Provider Organization with taxonomy code 302F00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.