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NPI Code Detail

MEDICARE: DR. MICHELE AH GILBERT

MEDICARE:  DR. MICHELE AH GILBERT
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
1174400000XSpecialistL0200TX

General Provider Information

NPI Number : 1821090127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELE AH GILBERT
Provider Business Mailing Address
First Line : 12201 RENFERT WAY
Second Line : STE 340
City : AUSTIN
State : TX
Zip : 78758-5369
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12201 RENFERT WAY
Second Line : STE 340
City : AUSTIN
State : TX
Zip : 78758-5369
Country : US
Telephone Number : 512-425-3845
Fax Number : 512-425-3888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MICHELE AH GILBERT ” Practice Location

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