Provider Demographics
NPI:1558034843
Name:GABLER, JENNIFER MARY
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARY
Last Name:GABLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 ACACIA LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4983
Mailing Address - Country:US
Mailing Address - Phone:281-772-2549
Mailing Address - Fax:956-622-5846
Practice Address - Street 1:520 ACACIA LAKE DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4983
Practice Address - Country:US
Practice Address - Phone:281-772-2549
Practice Address - Fax:956-622-5846
Is Sole Proprietor?:No
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99452176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife