Provider Demographics
NPI:1659568772
Name:GERNALE, VIRGILIO CABIOC SR (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGILIO
Middle Name:CABIOC
Last Name:GERNALE
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 SANTEE DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3064
Mailing Address - Country:US
Mailing Address - Phone:281-424-5723
Mailing Address - Fax:281-424-5723
Practice Address - Street 1:4406 SANTEE DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3064
Practice Address - Country:US
Practice Address - Phone:281-424-5723
Practice Address - Fax:281-424-5723
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine