Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | H4347 | TX |
N | 207ND0900X | Dermatopathologist | H4347 | TX |
N | 207NP0225X | Pediatric Dermatologist | H4347 | TX |
N | 207NS0135X | Procedural Dermatology | H4347 | TX |
NPI | 1003876285 |
---|---|
Provider Name | Howard B Gerber |
First Address | Bellaire, TX 77401-3500 |
Second Address | Bellaire, TX 77401-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 07/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E88065 | (02) | TX |