Provider Demographics
NPI:1417571662
Name:GABASAN, ERWIN GILLEGO (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:GILLEGO
Last Name:GABASAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22857 QUEST BROOK LN
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6215
Mailing Address - Country:US
Mailing Address - Phone:281-348-8600
Mailing Address - Fax:
Practice Address - Street 1:22857 QUEST BROOK LN
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6215
Practice Address - Country:US
Practice Address - Phone:281-851-6284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-7864-0225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist