MEDICARE: ERIC L. GEBHART DC

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	:	1326175712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC L. GEBHART DC

Provider Business Mailing Address
First Line	:	7500 BEECHNUT ST STE 252
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-4311
Country	:	US
Telephone Number	:
Fax Number	:

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	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	DR. ERIC L GEBHART
Credential	:	D.C.
Telephone Number	:	713-779-1387

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/17/2007

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