GWENDOLYN A. GIBBS NPI 1639202906

NPI Information

NPI: 1639202906
Provider Name: GWENDOLYN A. GIBBS

Doing Business As: DAYBREAK REHABILITATION CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5331 W OREM DR
HOUSTON, TX
ZIP 77045
Phone: (713) 433-0528
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GWENDOLYN A. GIBBS is a mental health (including community mental health center) clinic center in Houston, TX. GWENDOLYN A. GIBBS NPI is 1639202906. The provider is registered as an organization entity type.
The provider Is Doing Business As Daybreak Rehabilitation Center.

The provider's business location address is:

5331 W OREM DR
HOUSTON, TX
ZIP 77045-036
Phone: (713) 433-0528
Fax: (713) 433-1462

The provider's authorized official is Gwendolyn Arnetta Gibbs .
The authorized official title is Ceo and has the following contact phone number (832) 818-4443.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	454730	MEDICARE OSCAR/CERTIFICATION	TEXAS
2	454730	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	COMMUNITY MENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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