Healthcare Provider Details

I. General information

NPI: 1124080767
Provider Name (Legal Business Name): ERIC L GEBHART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERIC L GEBHART D.C.

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7731 SOUTHWEST FWY
HOUSTON TX
77074-1815
US

IV. Provider business mailing address

7731 SOUTHWEST FWY
HOUSTON TX
77074-1815
US

V. Phone/Fax

Practice location:
  • Phone: 713-448-7226
  • Fax: 713-456-4336
Mailing address:
  • Phone: 713-448-7226
  • Fax: 713-456-4336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC5451
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: