MEDICARE: TIFFANY GEBEL, M.D., P.A.

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1336865583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIFFANY GEBEL, M.D., P.A.

Provider Business Mailing Address
First Line	:	500 PIPELINE RD
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2082
Country	:	US
Telephone Number	:	210-273-3058
Fax Number	:	903-885-2989

Provider Business Practice Location Address
First Line	:	422 S HILLCREST DR
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-3661
Country	:	US
Telephone Number	:	210-273-3058
Fax Number	:	903-885-2989

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIFFANY GEBEL
Credential	:	MD
Telephone Number	:	210-273-3058

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	10/18/2022

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