Healthcare Provider Details
I. General information
NPI: 1366202848
Provider Name (Legal Business Name): GILBERT FAMILY PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2024
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5150 CRENSHAW RD STE A100
PASADENA TX
77505-3095
US
IV. Provider business mailing address
5150 CRENSHAW RD STE A100
PASADENA TX
77505-3095
US
V. Phone/Fax
- Phone: 713-396-2820
- Fax: 346-857-0190
- Phone: 713-396-2820
- Fax: 346-857-0190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LOUIS
GILBERT
Title or Position: OWNER
Credential: DO
Phone: 409-673-1301