Elder, William Gibbs

Elder, William Gibbs is an individual health care provider with primary practice located at 4349 Martin Luther King Blvd Health 2 Bldg Suite 1001E , Houston TX 77204-2043. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elder, William Gibbs can be contacted via phone (713) 743-9682.

Contact Information

Primary practice address
4349 Martin Luther King Blvd Health 2 Bldg Suite 1001E Houston TX 77204-2043
Phone: (713) 743-9682
Fax: (713) 743-1049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1108 Kentucky
Behavioral Health & Social Service Providers / Clinical 103TC0700X 38344 Texas

Profile Details

NPI number 1033140306
LBN Legal business name Elder, William Gibbs
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033140306 NPPES
Kentucky MEDICAID 89011084

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