Provider Demographics
NPI:1801936828
Name:VERAY, GILBERTO LUIS (DDS)
Entity type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:LUIS
Last Name:VERAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5934 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-4305
Mailing Address - Country:US
Mailing Address - Phone:409-740-7744
Mailing Address - Fax:409-744-4541
Practice Address - Street 1:5934 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-4305
Practice Address - Country:US
Practice Address - Phone:409-740-7744
Practice Address - Fax:409-744-4541
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23769122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist