Provider Demographics
NPI:1942554092
Name:ABREGO, GABRIEL SR
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:
Last Name:ABREGO
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9722 MOERS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-3102
Mailing Address - Country:US
Mailing Address - Phone:832-718-4179
Mailing Address - Fax:
Practice Address - Street 1:9722 MOERS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-3102
Practice Address - Country:US
Practice Address - Phone:832-718-4179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-27
Last Update Date:2012-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services