Healthcare Provider Details

I. General information

NPI: 1760485700
Provider Name (Legal Business Name): DAVID W GELBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 01/26/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 VISTA RD STE 450
PASADENA TX
77504-2176
US

IV. Provider business mailing address

3801 VISTA RD STE 450
PASADENA TX
77504-2176
US

V. Phone/Fax

Practice location:
  • Phone: 713-944-2240
  • Fax: 713-944-2377
Mailing address:
  • Phone: 713-944-2240
  • Fax: 713-944-2377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberH9081
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: