Provider Demographics
NPI:1356720924
Name:RICH, GABRIELLE HARRINGTON (DO)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:HARRINGTON
Last Name:RICH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:ANNA
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:202 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-4832
Mailing Address - Country:US
Mailing Address - Phone:504-609-9851
Mailing Address - Fax:
Practice Address - Street 1:1501 W 11TH PL STE 200
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-4121
Practice Address - Country:US
Practice Address - Phone:432-264-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0546207V00000X, 207VX0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program