Doctor Name: | JEFF GIBBERMAN |
NPI Number: | 1053798223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, RDN, LD, CPT |
License Number: | DT83439 |
Business Practice Address: | 21815 Oak Park Trails Dr Ste 209 Katy, TX - 774506184 |
Business Phone Number: | 7139979613 |
Business Fax Number: | 8325531906 |
Mailing Address: | 21815 Oak Park Trails Dr Ste 209, KATY |
State: | TX |
Postal Code: | 774506184 |
Phone Number: | 7139979613 |
Fax Number: | 8325531906 |
NPI Enumeration Date: | 04/27/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT83439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |