Gibbons, Stacey

Gibbons, Stacey is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gibbons, Stacey can be contacted via phone (409) 772-1221.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Phone: (409) 772-1221
Fax: (409) 772-1224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 047596 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41738 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X T5325 Texas

Profile Details

NPI number 1124082250
LBN Legal business name Gibbons, Stacey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 23rd, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124082250 NPPES
Georgia MEDICAID 000921181E
Georgia Other 989896

Popular Providers