Provider Demographics
NPI:1215827175
Name:GILBERT-HOLDEN, GWENDOLYN ANNETTE
Entity type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:ANNETTE
Last Name:GILBERT-HOLDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 MINERAL ST
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-1920
Mailing Address - Country:US
Mailing Address - Phone:830-302-0697
Mailing Address - Fax:830-302-0697
Practice Address - Street 1:4911 JIM DANIEL
Practice Address - Street 2:
Practice Address - City:ADKINS
Practice Address - State:TX
Practice Address - Zip Code:78101-9451
Practice Address - Country:US
Practice Address - Phone:726-228-3727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider