MEDICARE: ERIC L GEBHART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC5451	TX

General Provider Information

NPI Number	:	1124080767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC L GEBHART

Provider Business Mailing Address
First Line	:	7731 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1815
Country	:	US
Telephone Number	:	713-448-7226
Fax Number	:	713-456-4336

Provider Business Practice Location Address
First Line	:	7731 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1815
Country	:	US
Telephone Number	:	713-448-7226
Fax Number	:	713-456-4336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	07/08/2007

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Directions to “ ERIC L GEBHART ” Practice Location

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