Gibbons, Sarah L.

Gibbons, Sarah L. is an individual health care provider with primary practice located at 1313 Veterans Avenue Suite C, Crystal City TX 78839-3724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gibbons, Sarah L. can be contacted via phone (830) 374-4436.

Contact Information

Primary practice address
1313 Veterans Avenue Suite C Crystal City TX 78839-3724
Phone: (830) 374-4436
Fax: (830) 374-4437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 578107 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP115374 Texas

Profile Details

NPI number 1215187679
LBN Legal business name Gibbons, Sarah L.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Jan 31st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215187679 NPPES
Texas MEDICAID 198469204

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