Provider Demographics
NPI:1508051871
Name:ALVIN R. GEBERT, MD, PA
Entity Type:Organization
Organization Name:ALVIN R. GEBERT, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:GEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-608-8889
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6083207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A7650OtherBLUE CROSS BLUE SHIELD