Provider Demographics
NPI:1346293529
Name:GEBERT, ALVIN RAY (MD)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:RAY
Last Name:GEBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 W PARKER RD
Mailing Address - Street 2:SUITE 412
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7901
Mailing Address - Country:US
Mailing Address - Phone:972-608-8889
Mailing Address - Fax:972-473-2322
Practice Address - Street 1:6130 W PARKER RD
Practice Address - Street 2:SUITE 412
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7901
Practice Address - Country:US
Practice Address - Phone:972-608-8889
Practice Address - Fax:972-473-2322
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6083207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A7650OtherBLUE CROSS BLUE SHIELD
TX034729601Medicaid
TX034729601Medicaid