Healthcare Provider Details

I. General information

NPI: 1265178065
Provider Name (Legal Business Name): LAURA K GILBEY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/06/2022
Certification Date: 05/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 W DITTMAR ROAD
AUSTIN TX
78745-6328
US

IV. Provider business mailing address

PO BOX 152410
AUSTIN TX
78715-2410
US

V. Phone/Fax

Practice location:
  • Phone: 512-462-6634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA GILBEY
Title or Position: MD/OWNER
Credential:
Phone: 512-791-9007