Provider Demographics
NPI:1578843140
Name:GABIR, PHIBI T
Entity Type:Individual
Prefix:
First Name:PHIBI
Middle Name:T
Last Name:GABIR
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 1:25115 GOSLING RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-3226
Mailing Address - Country:US
Mailing Address - Phone:440-840-6696
Mailing Address - Fax:
Practice Address - Street 1:110 VISION PARK BLVD STE 220
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3015
Practice Address - Country:US
Practice Address - Phone:832-663-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03129943183500000X
TX56477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist