Healthcare Provider Details

I. General information

NPI: 1710435755
Provider Name (Legal Business Name): ZIBORA GILDER DBA EMPOWERED HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1927 LOUETTA POINT CT
SPRING TX
77388-4751
US

IV. Provider business mailing address

1927 LOUETTA POINT CT
SPRING TX
77388-4751
US

V. Phone/Fax

Practice location:
  • Phone: 832-347-9458
  • Fax: 832-201-0973
Mailing address:
  • Phone: 832-347-9458
  • Fax: 832-201-0973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: ZIBORA RAYSHUN GILDER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 832-347-9458