Provider Demographics
NPI:1003851262
Name:GABROY, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:GABROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1535 W WARM SPRINGS RD STE 135
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4343
Mailing Address - Country:US
Mailing Address - Phone:702-450-3385
Mailing Address - Fax:702-898-1699
Practice Address - Street 1:1535 WEST WARM SPRING ROAD
Practice Address - Street 2:SUITE 135
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-450-3385
Practice Address - Fax:702-898-1699
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVNV7601207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002205Medicaid
NV002002205Medicaid
B99496Medicare UPIN