Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THADDEUS GIBSON
Active Sole ProprietorPsychiatric Residential Treatment Facility · HOUSTON, TX
Registration Details
- NPI Number
- 1699394320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2020 (6.0252078838743 yrs)
- Last Updated
- Apr 13, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
15638 WESTERN SKIES DRHOUSTON, TX, 770861169Browse TX providers · Browse ZIP 77086
- Phone
- 8327563681
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
- Additional Specialty
- Respite Care (Camp)
- Additional Specialty
- Psychiatric Residential Treatment Facility
Other Psychiatric Residential Treatment Facility Providers in HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| HATTIE M GAMBLE | — | 1962778936 |
| JOHNYALE MCDANIEL | — | 1790191922 |
| LESLIE TURNER | — | 1760864789 |
| ANGELA JOHNSON | DIRECTOR | 1376917773 |
| MIA DAVIS | — | 1427591494 |
| TIERRA BAILEY | — | 1275074122 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.