Provider Demographics
NPI:1992273643
Name:AUBREY, GERALD JR
Entity type:Individual
Prefix:MR
First Name:GERALD
Middle Name:
Last Name:AUBREY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 CROW VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4234
Mailing Address - Country:US
Mailing Address - Phone:346-218-9860
Mailing Address - Fax:
Practice Address - Street 1:301 WELLS FARGO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-4060
Practice Address - Country:US
Practice Address - Phone:281-407-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician