Healthcare Provider Details

I. General information

NPI: 1275650152
Provider Name (Legal Business Name): PAYAL GABA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14023 SOUTHWEST FWY
SUGAR LAND TX
77478-3550
US

IV. Provider business mailing address

920 FROSTWOOD DR STE 2.300
HOUSTON TX
77024-2314
US

V. Phone/Fax

Practice location:
  • Phone: 281-325-4100
  • Fax: 281-325-4228
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00047067
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberS4140
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: