Basic Information
Provider Information
NPI: 1174035182
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GABEL
FirstName: ROBIN
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 909 FROSTWOOD DR STE 1.100
Address2:  
City: HOUSTON
State: TX
PostalCode: 770242301
CountryCode: US
TelephoneNumber: 7133386353
FaxNumber: 7137043086
Practice Location
Address1: 17500 W GRAND PKWY S
Address2:  
City: SUGAR LAND
State: TX
PostalCode: 774792562
CountryCode: US
TelephoneNumber: 2817255026
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/31/2017
LastUpdateDate: 05/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X71007602AINN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000X963829TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000XAP141106TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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