MEDICARE: JEFFREY TREIBER

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207T00000X	Neurological Surgery Physician	U8840	TX

General Provider Information

NPI Number	:	1740711878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY TREIBER

Provider Business Mailing Address
First Line	:	2715 STAR SKY WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-2227
Country	:	US
Telephone Number	:	760-579-9185
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-704-5437
Fax Number	:

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	06/02/2026

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Directions to “ JEFFREY TREIBER ” Practice Location

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