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NPI Code Detail

MEDICARE: JERRY H GILBERT MD

MEDICARE:   JERRY H GILBERT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianK2336TX
2207RI0011XInterventional Cardiology Physician165158MT
3207RI0011XInterventional Cardiology PhysicianK2336TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629079017
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY H GILBERT MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 800 SCOTT AND WHITE DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-6440
Country : US
Telephone Number : 979-207-4000
Fax Number : 979-207-4562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 12/11/2025

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Directions to “ JERRY H GILBERT MD” Practice Location

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