Provider Demographics
NPI:1083897946
Name:GOBER, KIRK SCOTT (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:SCOTT
Last Name:GOBER
Suffix:
Gender:M
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1526
Mailing Address - Country:US
Mailing Address - Phone:713-486-1813
Mailing Address - Fax:713-486-9586
Practice Address - Street 1:5420 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 2300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041
Practice Address - Country:US
Practice Address - Phone:713-486-1813
Practice Address - Fax:713-486-9586
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111581225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist