Provider Demographics
NPI:1003127317
Name:GELBAR, RHONDA G
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:G
Last Name:GELBAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 W KINGSLEY RD STE 336
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-3434
Mailing Address - Country:US
Mailing Address - Phone:972-271-5544
Mailing Address - Fax:972-271-5567
Practice Address - Street 1:219 W KINGSLEY RD STE 336
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-3434
Practice Address - Country:US
Practice Address - Phone:972-271-5544
Practice Address - Fax:972-271-5567
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00969363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant