Provider Demographics
NPI:1437415494
Name:AREVALO, GABRIEL APOLONIO (MD)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:APOLONIO
Last Name:AREVALO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:455 SCHOOL ST STE 10
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4594
Mailing Address - Country:US
Mailing Address - Phone:281-351-5409
Mailing Address - Fax:281-351-2803
Practice Address - Street 1:455 SCHOOL ST STE 10
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-351-5409
Practice Address - Fax:281-351-2803
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2019-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR8149208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery