Provider Demographics
NPI:1689765216
Name:JOUBERT-GILBERT, SHARON (D C)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:JOUBERT-GILBERT
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16013
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77222-6013
Mailing Address - Country:US
Mailing Address - Phone:713-699-3200
Mailing Address - Fax:713-699-3243
Practice Address - Street 1:4625 NORTH FWY
Practice Address - Street 2:STE., 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-2914
Practice Address - Country:US
Practice Address - Phone:713-699-3200
Practice Address - Fax:713-699-3234
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU73845Medicare UPIN
TX00591FMedicare ID - Type Unspecified