Basic Information
Provider Information
NPI: 1164685731
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GILBERT
FirstName: BILLY
MiddleName: RAY
NamePrefix: MR.
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8876 GULF FREEWAY
Address2: SUITE 215, RENAL SPECIALISTS OF HOUSTON, PA
City: HOUSTON
State: TX
PostalCode: 770176550
CountryCode: US
TelephoneNumber: 7139479509
FaxNumber: 7139470609
Practice Location
Address1: 6624 FANNIN
Address2: SUITE 2510, RENAL SPECIALISTS OF HOUSTON, PA
City: HOUSTON
State: TX
PostalCode: 770302337
CountryCode: US
TelephoneNumber: 7137912648
FaxNumber: 7137950717
Other Information
ProviderEnumerationDate: 07/03/2008
LastUpdateDate: 02/09/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XBP10023256TXY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207RN0300XN5688TXN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


Home