| Gabriel Igwala, | |
|
7667 Woodway Dr, Houston, TX 77063-1540 | |
| (713) 844-8429 | |
| Not Available |
| Full Name | Gabriel Igwala |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 7667 Woodway Dr, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679141782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 120399 (Texas) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Provider Name | Fox Rehabilitation Services Tx Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710582580 PECOS PAC ID: 7113330879 Enrollment ID: O20210119002550 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Igwala, 4926 Beech Fern Dr, Richmond, TX 77407-3680 Ph: (281) 323-5516 | Gabriel Igwala, 7667 Woodway Dr, Houston, TX 77063-1540 Ph: (713) 844-8429 |
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