Provider Demographics
NPI:1558404160
Name:KLAYBOR, GAYLE RABKIN (GAYLE KLAYBOR)
Entity Type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:RABKIN
Last Name:KLAYBOR
Suffix:
Gender:F
Credentials:GAYLE KLAYBOR
Other - Prefix:DR
Other - First Name:GAYLE
Other - Middle Name:RABKIN
Other - Last Name:KLAYBOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:GAYLE KLAYBOR
Mailing Address - Street 1:5151 SAN FELIPE
Mailing Address - Street 2:SUITE 1470
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:713-621-2490
Mailing Address - Fax:713-622-3466
Practice Address - Street 1:5151 SAN FELIPE
Practice Address - Street 2:SUITE 1470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:713-621-2490
Practice Address - Fax:713-622-3466
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S16ZMedicare ID - Type Unspecified