Individual
GILBERT NDIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15827 BEECHNUT ST, HOUSTON, TX 77083-5311
(443) 857-3675
Mailing address
15827 BEECHNUT ST, HOUSTON, TX 77083-5311
(443) 857-3675
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335028
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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