Provider Demographics
NPI:1154573251
Name:BIEN-WILLNER, GABRIEL ALEJANDRO (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:ALEJANDRO
Last Name:BIEN-WILLNER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 EDEN ELM PL # 8118
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3123
Mailing Address - Country:US
Mailing Address - Phone:832-687-8555
Mailing Address - Fax:
Practice Address - Street 1:26797 HANNA RD BLDG 4D1
Practice Address - Street 2:
Practice Address - City:OAK RIDGE NORTH
Practice Address - State:TX
Practice Address - Zip Code:77385-6628
Practice Address - Country:US
Practice Address - Phone:832-687-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008015640207ZP0101X
TXQ1360207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic PathologyGroup - Single Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology